Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$621.60
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.
$1,036.00
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.
$26.40 with UPMC Work Partners vs $699.36 with United Healthcare — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $26.40 | ↓ -96% |
| Cigna | Commercial | $35.50 | ↓ -94% |
| Preferred Healthcare System | PPO | $35.50 | ↓ -94% |
| Aetna | Commercial | $37.63 | ↓ -94% |
| Geisinger | Commercial | $39.05 | ↓ -94% |
| Private Health Care Systems | PPO | $56.80 | ↓ -91% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $131.75 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $149.40 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $236.62 | ↓ -62% |
| Geisinger | Medicaid | $236.62 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicaid | $236.62 | ↓ -62% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $236.62 | ↓ -62% |
| UPMC Health Plan | Managed Medicare | $241.31 | ↓ -61% |
| UPMC Health Plan | Partners/Select | $245.28 | ↓ -61% |
| United Healthcare | Medicare | $253.18 | ↓ -59% |
| AmeriHealth Caritas | Medicare | $255.55 | ↓ -59% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $255.55 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicare | $255.55 | ↓ -59% |
| Cigna | Medicare | $255.55 | ↓ -59% |
| UPMC Health Plan | CHIP | $262.57 | ↓ -58% |
| UPMC Health Plan | Commercial | $291.04 | ↓ -53% |
| United Healthcare | Commercial | $699.36 | ↑ +13% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $37,978.20 | $236.62 – $260.28 |
| UPMC Presbyterian | Pittsburgh | $31,680.60 | $133.01 – $260.28 |
| UPMC Wellsboro | Wellsboro | $37,978.20 | $236.62 – $260.28 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $152.88 – $496.89 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $189.74 – $496.89 |