Tocilizumab 162 mg/0.9 ml subcutaneous pen injector at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$6,825.00
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.
$11,375.00
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.
$3.60 with UPMC Health Plan vs $22.06 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $3.60 | ↓ -100% |
| UPMC Health Plan | Managed Medicare | $5.11 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5.71 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $5.71 | ↓ -100% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $5.71 | ↓ -100% |
| Aetna | Medicare | $5.88 | ↓ -100% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $5.88 | ↓ -100% |
| United Healthcare | All Business | $5.97 | ↓ -100% |
| United Healthcare | Compass Exchange | $5.97 | ↓ -100% |
| United Healthcare Community Plan for Families | Unison Kids | $6.00 | ↓ -100% |
| Aetna of PA | Medicare | $6.00 | ↓ -100% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $6.00 | ↓ -100% |
| United Healthcare | Medicare | $6.11 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6.17 | ↓ -100% |
| AmeriHealth Caritas | Medicare | $6.17 | ↓ -100% |
| Cigna | Medicare | $6.17 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $6.17 | ↓ -100% |
| UPMC Health Plan | Commercial | $7.02 | ↓ -100% |
| UPMC Health Plan | CHIP | $7.10 | ↓ -100% |
| Anthem Blue Cross Blue Shield | Traditional | $7.50 | ↓ -100% |
| Aetna | Neighborhood Network | $8.14 | ↓ -100% |
| Aetna | Home Depot Employer Group | $8.40 | ↓ -100% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $8.56 | ↓ -100% |
| Cigna | New Business ASO | $8.58 | ↓ -100% |
| Aetna | NBR ASO/FI | $8.58 | ↓ -100% |
| Cigna | NBR ASO/FI | $8.58 | ↓ -100% |
| Cigna | Commercial | $8.80 | ↓ -100% |
| Aetna | EBR ASO | $8.80 | ↓ -100% |
| Cigna | EBR | $8.80 | ↓ -100% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $10.71 | ↓ -100% |
| UPMC Work Partners | Workers Comp | $11.27 | ↓ -100% |
| Aetna | EBR FI | $13.20 | ↓ -100% |
| InterGroup | PPO | $14.30 | ↓ -100% |
| Coventry/First Health | Commercial | $14.52 | ↓ -100% |
| Health Coalition Partners | PPO | $15.40 | ↓ -100% |
| Private Health Care Systems | PPO | $17.60 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $17.91 | ↓ -100% |
| Prime Net | Commercial | $18.04 | ↓ -100% |
| Humana | Commercial | $18.70 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $22.06 | ↓ -100% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,029.20 | $3.60 – $16.80 |
| UPMC Bedford | Everett | $5,334.60 | $2.06 – $17.10 |
| UPMC Carlisle | Carlisle | $783.00 | $5.65 – $112.20 |
| UPMC Cole | Coudersport | $6,612.60 | $5.71 – $1,763.20 |
| UPMC Community Osteopathic | Harrisburg | $783.00 | $5.65 – $112.20 |
| UPMC East | Monroeville | $5,467.80 | $2.63 – $17.60 |
| UPMC Hamot | Erie | $4,636.20 | $3.60 – $7.03 |
| UPMC Northwest | Seneca | $5,467.80 | $3.60 – $6.17 |