Isatuximab-irfc 20 mg/ml intravenous solution at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$92.40
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.
?
What you pay up front if you don't use insurance.
$154.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$29.26 with Capital Blue Cross vs $291.32 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $29.26 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $29.26 | ↓ -68% |
| Prime Net | Managed Medicare | $37.27 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $76.58 | ↓ -17% |
| Highmark BCBS of PA | Medicare | $81.08 | ↓ -12% |
| PA Health & Wellness | PA Medicaid HMO | $81.90 | ↓ -11% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $81.90 | ↓ -11% |
| Geisinger | Medicaid/CHIP | $81.90 | ↓ -11% |
| Humana | Medicare | $81.90 | ↓ -11% |
| Highmark Wholecare (prev Gateway) | Medicaid | $83.54 | ↓ -10% |
| Aetna | Medicare | $85.42 | ↓ -8% |
| Geisinger | Medicare | $86.00 | ↓ -7% |
| Cigna | Medicare | $86.00 | ↓ -7% |
| United Healthcare | Medicare | $87.63 | ↓ -5% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $88.45 | ↓ -4% |
| UPMC Health Plan | Managed Medicaid | $90.09 | ↓ -3% |
| Aetna | ACO | $92.55 | ↑ +0% |
| United Healthcare | Commercial | $94.86 | ↑ +3% |
| UPMC Health Plan | CHIP | $100.74 | ↑ +9% |
| Geisinger | Commercial | $100.84 | ↑ +9% |
| Capital Blue Cross | CHIP | $104.66 | ↑ +13% |
| Keystone Health Plan | Commercial | $104.66 | ↑ +13% |
| Capital Blue Cross | Commercial | $104.66 | ↑ +13% |
| UPMC Health Plan | Commercial | $107.80 | ↑ +17% |
| Cigna | Commercial | $107.86 | ↑ +17% |
| Aetna | Commercial | $118.58 | ↑ +28% |
| CareFirst | Commercial | $130.90 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $130.90 | ↑ +42% |
| Keystone Autism Services | ACAP | $131.04 | ↑ +42% |
| Wellspan Population Health | Commercial | $133.98 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $271.70 | ↑ +194% |
| Highmark BCBS of PA | Commercial | $291.32 | ↑ +215% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Isatuximab-irfc 20 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $10,494.60 | $81.90 – $2,798.40 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $53.54 – $174.01 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $66.45 – $174.01 |