Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$35.00
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.
$46.00
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.
$2.47 with UPMC Health Plan vs $6,403.90 with Aetna — 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 | $2.47 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $3.50 | ↓ -90% |
| United Healthcare | All Business | $3.90 | ↓ -89% |
| United Healthcare | Compass Exchange | $3.90 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3.91 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3.91 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $3.91 | ↓ -89% |
| Aetna | Medicare | $4.03 | ↓ -88% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $4.03 | ↓ -88% |
| Aetna of PA | Medicare | $4.11 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison Kids | $4.11 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $4.11 | ↓ -88% |
| United Healthcare | Medicare | $4.18 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.22 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.22 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $4.22 | ↓ -88% |
| Cigna | Medicare | $4.22 | ↓ -88% |
| UPMC Health Plan | Commercial | $4.81 | ↓ -86% |
| UPMC Health Plan | CHIP | $5.59 | ↓ -84% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $7.34 | ↓ -79% |
| Anthem Blue Cross Blue Shield | Traditional | $14.66 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $14.83 | ↓ -58% |
| Aetna | Neighborhood Network | $15.91 | ↓ -55% |
| Aetna | Home Depot Employer Group | $16.43 | ↓ -53% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $16.73 | ↓ -52% |
| Aetna | NBR ASO/FI | $16.77 | ↓ -52% |
| Cigna | NBR ASO/FI | $16.77 | ↓ -52% |
| Cigna | New Business ASO | $16.77 | ↓ -52% |
| Aetna | EBR ASO | $17.20 | ↓ -51% |
| Cigna | Commercial | $17.20 | ↓ -51% |
| Cigna | EBR | $17.20 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $18.27 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $22.03 | ↓ -37% |
| Aetna | EBR FI | $25.80 | ↓ -26% |
| InterGroup | PPO | $27.95 | ↓ -20% |
| Coventry/First Health | Commercial | $28.38 | ↓ -19% |
| Health Coalition Partners | PPO | $30.10 | ↓ -14% |
| Private Health Care Systems | PPO | $34.40 | ↓ -2% |
| Prime Net | Commercial | $35.26 | ↑ +1% |
| Humana | Commercial | $36.55 | ↑ +4% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $5,821.73 | ↑ +16534% |
| Aetna | Medicaid | $6,403.90 | ↑ +18197% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,431.40 | $3.87 – $5,783.35 |
| UPMC Cole | Coudersport | $14,938.20 | $3.91 – $19,917.60 |
| UPMC Community Osteopathic | Harrisburg | $3,431.40 | $3.87 – $5,783.35 |
| UPMC Hanover | Hanover | $3,431.40 | $3.87 – $5,783.35 |
| UPMC Lititz | Lititz | $3,431.40 | $3.87 – $5,783.35 |
| UPMC Magee | Pittsburgh | $4,964.40 | $2.47 – $6,403.90 |
| UPMC Memorial | York | $3,431.40 | $3.91 – $5,783.35 |
| UPMC Passavant-McCandless | Pittsburgh | $5,262.00 | $2.47 – $6,112.81 |