Nivolumab 10 mg/ml intravenous solution (wrapper) at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$82.80
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.
$138.00
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.
$11.89 with Aetna of PA vs $124.20 with Health Coalition Partners — 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $11.89 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $20.81 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $28.42 | ↓ -66% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $32.96 | ↓ -60% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $32.96 | ↓ -60% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $32.96 | ↓ -60% |
| Geisinger | Medicaid/CHIP | $32.96 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicaid | $32.96 | ↓ -60% |
| Aetna | Medicare | $33.95 | ↓ -59% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $34.02 | ↓ -59% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $34.61 | ↓ -58% |
| United Healthcare | Medicare | $35.27 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicare | $35.59 | ↓ -57% |
| AmeriHealth Caritas | Medicare | $35.60 | ↓ -57% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $35.60 | ↓ -57% |
| Cigna | Medicare | $35.60 | ↓ -57% |
| UPMC Health Plan | CHIP | $36.07 | ↓ -56% |
| United Healthcare Community Plan for Families | Unison Kids | $37.90 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $40.08 | ↓ -52% |
| UPMC Health Plan | Commercial | $40.55 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $53.76 | ↓ -35% |
| Aetna | EBR ASO | $55.20 | ↓ -33% |
| Cigna | EBR | $55.20 | ↓ -33% |
| Cigna | Commercial | $55.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $66.23 | ↓ -20% |
| Aetna | EBR FI | $67.62 | ↓ -18% |
| United Healthcare | Compass Exchange | $78.66 | ↓ -5% |
| Aetna | Neighborhood Network | $85.56 | ↑ +3% |
| Aetna | Home Depot Employer Group | $87.91 | ↑ +6% |
| Cigna | New Business ASO | $89.70 | ↑ +8% |
| InterGroup | PPO | $89.70 | ↑ +8% |
| Aetna | NBR ASO/FI | $89.70 | ↑ +8% |
| Cigna | NBR ASO/FI | $89.70 | ↑ +8% |
| United Healthcare | All Business | $92.46 | ↑ +12% |
| Coventry/First Health | Commercial | $96.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $110.40 | ↑ +33% |
| Private Health Care Systems | PPO | $124.20 | ↑ +50% |
| SelectCare | Commercial | $124.20 | ↑ +50% |
| Humana | Commercial | $124.20 | ↑ +50% |
| Health Coalition Partners | Intergroup | $124.20 | ↑ +50% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nivolumab 10 mg/ml intravenous solution (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $19,390.20 | $32.96 – $4,308.80 |
| UPMC Magee | Pittsburgh | $7,364.40 | $19.57 – $35.60 |
| UPMC Muncy | Muncy | $12,144.00 | $32.96 – $36.26 |
| UPMC Wellsboro | Wellsboro | $12,144.00 | $32.96 – $36.26 |
| Uniontown Hospital | Uniontown | $30,538.56 | $34.22 – $79.73 |
| UPMC St. Margaret | Pittsburgh | not published | $19.57 – $36.26 |