Ipilimumab 5 mg/ml intravenous solution (wrapper) at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$493.80
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.
$823.00
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.
$115.85 with UPMC Health Plan vs $658.40 with InterGroup — 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 Health Plan | Managed Medicaid | $115.85 | ↓ -77% |
| Univera | Univera_Medicare_Hamot_2024 | $123.45 | ↓ -75% |
| Independent Health | Medicare Advantage | $160.49 | ↓ -67% |
| Independent Health | Commercial | $160.49 | ↓ -67% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $174.24 | ↓ -65% |
| Geisinger | Medicaid/CHIP | $183.48 | ↓ -63% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $183.48 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicaid | $183.48 | ↓ -63% |
| Fidelis | Medicare | $183.48 | ↓ -63% |
| Aetna | Medicare | $187.15 | ↓ -62% |
| UPMC Health Plan | Partners/Select | $187.30 | ↓ -62% |
| Wellcare | Medicare Advantage | $188.98 | ↓ -62% |
| BCBS of Western NY | Medicare Advantage | $192.65 | ↓ -61% |
| United Healthcare | Medicare | $196.32 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicare | $198.14 | ↓ -60% |
| Cigna | Medicare | $198.16 | ↓ -60% |
| AmeriHealth Caritas | Medicare | $198.16 | ↓ -60% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $198.16 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $198.43 | ↓ -60% |
| Aetna | Commercial | $205.75 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $233.07 | ↓ -53% |
| Cigna | New Business ASO | $246.90 | ↓ -50% |
| Cigna | NBR ASO/FI | $246.90 | ↓ -50% |
| Univera | Commercial | $271.59 | ↓ -45% |
| BCBS of Western NY | Commercial | $288.05 | ↓ -42% |
| UPMC Health Plan | Commercial | $302.86 | ↓ -39% |
| Highmark BCBS of PA | UPMC Emergent | $317.49 | ↓ -36% |
| Cigna | EBR | $329.20 | ↓ -33% |
| Cigna | Commercial | $329.20 | ↓ -33% |
| United Healthcare | Commercial | $374.05 | ↓ -24% |
| InterGroup | Health Coalition Partners/PPO | $534.95 | ↑ +8% |
| Aetna | AXA/MMO | $576.10 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $576.10 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $658.40 | ↑ +33% |
| InterGroup | Beech Street | $658.40 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ipilimumab 5 mg/ml intravenous solution (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $20,215.80 | $115.85 – $539.20 |
| UPMC Cole | Coudersport | $88,416.60 | $183.48 – $29,472.00 |
| UPMC Magee | Pittsburgh | $17,385.60 | $115.85 – $198.16 |
| UPMC Muncy | Muncy | $33,224.40 | $183.48 – $201.83 |
| UPMC Wellsboro | Wellsboro | $33,224.40 | $183.48 – $201.83 |
| Uniontown Hospital | Uniontown | $35,508.72 | $190.43 – $443.70 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $124.37 – $385.17 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $154.42 – $385.17 |