Durvalumab 50 mg/ml intravenous solution at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$7,687.20
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.
?
What you pay up front if you don't use insurance.
$12,812.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$46.67 with Highmark BCBS of PA vs $251.64 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $46.67 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $53.74 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $85.12 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $85.12 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $85.12 | ↓ -99% |
| Geisinger | Medicaid | $85.12 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $86.81 | ↓ -99% |
| UPMC Health Plan | Partners/Select | $88.24 | ↓ -99% |
| United Healthcare | Medicare | $91.08 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $91.93 | ↓ -99% |
| Cigna | Medicare | $91.93 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $91.93 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $91.93 | ↓ -99% |
| UPMC Health Plan | CHIP | $93.65 | ↓ -99% |
| UPMC Health Plan | Commercial | $104.70 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $114.89 | ↓ -99% |
| Cigna | Commercial | $154.50 | ↓ -98% |
| Preferred Healthcare System | PPO | $154.50 | ↓ -98% |
| Aetna | Commercial | $163.77 | ↓ -98% |
| Geisinger | Commercial | $169.95 | ↓ -98% |
| Private Health Care Systems | PPO | $247.20 | ↓ -97% |
| United Healthcare | Commercial | $251.64 | ↓ -97% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Durvalumab 50 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $10,483.80 | $85.12 – $3,354.40 |
| Uniontown Hospital | Uniontown | $25,767.96 | $87.95 – $204.92 |
| UPMC St. Margaret | Pittsburgh | not published | $47.12 – $93.63 |