Pembrolizumab 25 mg/ml intravenous solution at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$850.20
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.
$1,417.00
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.
$59.69 with Highmark BCBS of PA vs $1,232.79 with Wellspan Population Health — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $59.69 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $60.29 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $60.29 | ↓ -93% |
| Humana | Medicare | $60.29 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $60.29 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $61.50 | ↓ -93% |
| Aetna | Medicare | $62.88 | ↓ -93% |
| Cigna | Medicare | $63.30 | ↓ -93% |
| Geisinger | Medicare | $63.30 | ↓ -93% |
| United Healthcare | Medicare | $64.51 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $65.11 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $66.32 | ↓ -92% |
| UPMC Health Plan | CHIP | $74.16 | ↓ -91% |
| Cigna | Commercial | $78.58 | ↓ -91% |
| Keystone Autism Services | ACAP | $96.46 | ↓ -89% |
| Highmark BCBS of PA | Medicaid | $200.01 | ↓ -76% |
| Highmark BCBS of PA | Commercial | $214.45 | ↓ -75% |
| Keystone Health Plan | Medicare Advantage | $269.23 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $269.23 | ↓ -68% |
| Prime Net | Managed Medicare | $342.91 | ↓ -60% |
| United Healthcare | Commercial | $391.35 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $704.67 | ↓ -17% |
| Aetna | ACO | $851.62 | ↑ +0% |
| Geisinger | Commercial | $927.85 | ↑ +9% |
| Capital Blue Cross | Commercial | $962.99 | ↑ +13% |
| Capital Blue Cross | CHIP | $962.99 | ↑ +13% |
| Keystone Health Plan | Commercial | $962.99 | ↑ +13% |
| UPMC Health Plan | Commercial | $991.90 | ↑ +17% |
| Aetna | Commercial | $1,091.09 | ↑ +28% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,204.45 | ↑ +42% |
| CareFirst | Commercial | $1,204.45 | ↑ +42% |
| Wellspan Population Health | Commercial | $1,232.79 | ↑ +45% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pembrolizumab 25 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $13,809.00 | $30.93 – $180.00 |
| UPMC Carlisle | Carlisle | $850.20 | $59.69 – $1,204.45 |
| UPMC Cole | Coudersport | $13,285.80 | $60.29 – $17,714.40 |
| UPMC Community Osteopathic | Harrisburg | $850.20 | $51.50 – $1,204.45 |
| UPMC Lititz | Lititz | $850.20 | $59.69 – $96.46 |
| UPMC Magee | Pittsburgh | $12,507.00 | $31.22 – $65.11 |
| UPMC Memorial | York | $850.20 | $25.21 – $96.46 |
| UPMC Muncy | Muncy | $21,534.00 | $60.29 – $66.32 |