Rituximab-abbs 10 mg/ml intravenous solution at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$319.20
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.
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What you pay up front if you don't use insurance.
$399.00
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.
$18.55 with UPMC Health Plan vs $319.20 with Multiplan — 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 | $18.55 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $29.38 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $29.38 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.38 | ↓ -91% |
| Fidelis | Medicare | $29.38 | ↓ -91% |
| Aetna | Medicare | $29.97 | ↓ -91% |
| UPMC Health Plan | Partners/Select | $29.99 | ↓ -91% |
| Wellcare | Medicare Advantage | $30.26 | ↓ -91% |
| BCBS of Western NY | Medicare Advantage | $30.85 | ↓ -90% |
| United Healthcare | Medicare | $31.44 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $31.73 | ↓ -90% |
| Cigna | Medicare | $31.73 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $31.73 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $31.73 | ↓ -90% |
| Independent Health | Commercial | $52.17 | ↓ -84% |
| Independent Health | Medicare Advantage | $52.17 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $53.96 | ↓ -83% |
| Univera | Univera_Medicare_Hamot_2024 | $59.85 | ↓ -81% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $96.40 | ↓ -70% |
| United Healthcare | Commercial | $97.71 | ↓ -69% |
| Aetna | Commercial | $99.75 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $113.00 | ↓ -65% |
| Cigna | New Business ASO | $119.70 | ↓ -63% |
| Cigna | NBR ASO/FI | $119.70 | ↓ -63% |
| Univera | Commercial | $131.67 | ↓ -59% |
| BCBS of Western NY | Commercial | $139.65 | ↓ -56% |
| UPMC Health Plan | Commercial | $146.83 | ↓ -54% |
| Highmark BCBS of PA | UPMC Emergent | $154.24 | ↓ -52% |
| Cigna | EBR | $159.60 | ↓ -50% |
| Cigna | Commercial | $159.60 | ↓ -50% |
| InterGroup | Health Coalition Partners/PPO | $259.35 | ↓ -19% |
| Multiplan | PPO (Includes PHCS as a Payer) | $279.30 | ↓ -13% |
| Aetna | AXA/MMO | $279.30 | ↓ -13% |
| InterGroup | Beech Street | $319.20 | ↑ +0% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $319.20 | ↑ +0% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Rituximab-abbs 10 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $354.40 | $18.55 – $354.40 |
| UPMC Bedford | Everett | $481.60 | $10.60 – $541.80 |
| UPMC East | Monroeville | $536.80 | $18.55 – $536.80 |
| UPMC Northwest | Seneca | $320.40 | $18.55 – $31.73 |
| UPMC Horizon-Greenville | Greenville | $324.60 | $18.55 – $55.13 |
| UPMC Jameson | New Castle | $394.40 | $18.55 – $54.91 |
| UPMC Magee | Pittsburgh | $537.60 | $18.55 – $54.47 |
| UPMC McKeesport | Mckeesport | $518.40 | $18.55 – $54.47 |