Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$44.40
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.
$74.00
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.
$15.30 with United Healthcare vs $444.02 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| United Healthcare | Compass Exchange | $15.30 | ↓ -66% |
| Anthem Blue Cross Blue Shield | Traditional | $15.35 | ↓ -65% |
| Aetna | Neighborhood Network | $16.65 | ↓ -63% |
| Aetna | Home Depot Employer Group | $17.19 | ↓ -61% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $17.50 | ↓ -61% |
| Cigna | New Business ASO | $17.55 | ↓ -60% |
| Aetna | NBR ASO/FI | $17.55 | ↓ -60% |
| Cigna | NBR ASO/FI | $17.55 | ↓ -60% |
| Aetna | EBR ASO | $18.00 | ↓ -59% |
| United Healthcare | All Business | $18.00 | ↓ -59% |
| Cigna | Commercial | $18.00 | ↓ -59% |
| Cigna | EBR | $18.00 | ↓ -59% |
| UPMC Work Partners | Workers Comp | $23.05 | ↓ -48% |
| Aetna | EBR FI | $27.00 | ↓ -39% |
| InterGroup | PPO | $29.25 | ↓ -34% |
| Coventry/First Health | Commercial | $29.70 | ↓ -33% |
| Health Coalition Partners | PPO | $31.50 | ↓ -29% |
| Private Health Care Systems | PPO | $36.00 | ↓ -19% |
| Prime Net | Commercial | $36.90 | ↓ -17% |
| Humana | Commercial | $38.25 | ↓ -14% |
| UPMC Health Plan | Managed Medicaid | $149.40 | ↑ +236% |
| UPMC Health Plan | Managed Medicare | $211.85 | ↑ +377% |
| Geisinger | Medicaid/CHIP | $236.62 | ↑ +433% |
| Highmark Wholecare (prev Gateway) | Medicaid | $236.62 | ↑ +433% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $236.62 | ↑ +433% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $243.67 | ↑ +449% |
| Aetna | Medicare | $243.72 | ↑ +449% |
| United Healthcare Community Plan for Families | Unison Kids | $248.45 | ↑ +460% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $248.45 | ↑ +460% |
| Aetna of PA | Medicare | $248.45 | ↑ +460% |
| United Healthcare | Medicare | $253.18 | ↑ +470% |
| Highmark Wholecare (prev Gateway) | Medicare | $255.53 | ↑ +476% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $255.55 | ↑ +476% |
| AmeriHealth Caritas | Medicare | $255.55 | ↑ +476% |
| Cigna | Medicare | $255.55 | ↑ +476% |
| UPMC Health Plan | CHIP | $262.57 | ↑ +491% |
| UPMC Health Plan | Commercial | $291.04 | ↑ +555% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $335.78 | ↑ +656% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $413.68 | ↑ +832% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $444.02 | ↑ +900% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
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 |