Pembrolizumab 25 mg/ml intravenous solution at UPMC Chautauqua
207 Foote Avenue, Jamestown, NY · UPMC · · NPI 1770573222
$147.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$245.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$53.67 with Independent Health vs $220.50 with Affordable First Health — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Independent Health | Commercial | $53.67 | ↓ -63% |
| Independent Health | Medicare Advantage | $53.67 | ↓ -63% |
| Univera | Medicare Advantage | $55.42 | ↓ -62% |
| UNITED BEHAVIORAL HEALTH | MEDICARE | $60.29 | ↓ -59% |
| Beacon | Medicare Advantage | $60.29 | ↓ -59% |
| Fidelis | Medicare | $60.29 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $60.29 | ↓ -59% |
| UPMC Health Plan | Managed Medicare | $60.29 | ↓ -59% |
| Humana | Medicare | $60.29 | ↓ -59% |
| United Healthcare | Medicare | $60.29 | ↓ -59% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $61.50 | ↓ -58% |
| Wellcare | Medicare | $62.10 | ↓ -58% |
| Aetna | Medicare | $62.70 | ↓ -57% |
| Beacon | Commercial | $75.36 | ↓ -49% |
| UPMC Health Plan | Commercial | $147.00 | ↑ +0% |
| BCBS of Western NY | Commercial | $151.20 | ↑ +3% |
| United Healthcare | Commercial | $156.80 | ↑ +7% |
| Aetna | Commercial | $159.25 | ↑ +8% |
| MagnaCare | Workers Compensation | $183.75 | ↑ +25% |
| MagnaCare | Direct Plus | $183.75 | ↑ +25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $183.75 | ↑ +25% |
| Humana | Commercial | $183.75 | ↑ +25% |
| MagnaCare | PPO | $183.75 | ↑ +25% |
| MagnaCare | No Fault | $183.75 | ↑ +25% |
| GHI/Emblem Health | Commercial | $196.00 | ↑ +33% |
| Statewide Independent PPO | PPO | $215.60 | ↑ +47% |
| Affordable First Health | PPO | $220.50 | ↑ +50% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pembrolizumab 25 mg/ml intravenous solution at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $5,059.32 | $55.63 – $8,178.26 |
| NewYork-Presbyterian Queens | Flushing | $5,059.32 | $55.63 – $8,178.55 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $5,059.32 | $55.63 – $6,160.41 |
| WESTFIELD MEMORIAL HOSPITAL INC | WESTFIELD | not published | $42.55 – $82.87 |
| Rochester General Hospital | Rochester | not published | $57.69 – $111.78 |
| Clifton Springs Hospital and Clinic | Clifton Springs | not published | $50.26 – $64.10 |
| The Unity Hospital of Rochester | Rochester | not published | $57.69 – $64.10 |
| Newark Wayne Community Hospital | Newark | not published | $57.69 – $73.72 |