Polatuzumab vedotin-piiq 140 mg intravenous solution at UPMC Hanover

300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$10,525.80

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$17,543.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$135.30 with Highmark BCBS of PA vs $3,270.33 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 →

Payer
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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
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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 $135.30 ↓ -99%
PA Health & Wellness PA Medicaid HMO $136.67 ↓ -99%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $136.67 ↓ -99%
Humana Medicare $136.67 ↓ -99%
Geisinger Medicaid/CHIP $136.67 ↓ -99%
Highmark Wholecare (prev Gateway) Medicaid $139.40 ↓ -99%
Aetna Medicare $142.55 ↓ -99%
Cigna Medicare $143.50 ↓ -99%
Geisinger Medicare $143.50 ↓ -99%
United Healthcare Medicare $146.24 ↓ -99%
PA Health & Wellness Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) $147.60 ↓ -99%
UPMC Health Plan Managed Medicaid $150.33 ↓ -99%
UPMC Health Plan CHIP $168.10 ↓ -98%
Cigna Commercial $175.25 ↓ -98%
Keystone Autism Services ACAP $218.67 ↓ -98%
Highmark BCBS of PA Medicaid $453.39 ↓ -96%
Highmark BCBS of PA Commercial $486.14 ↓ -95%
Keystone Health Plan Medicare Advantage $714.21 ↓ -93%
Capital Blue Cross Medicare Advantage $714.21 ↓ -93%
United Healthcare Commercial $872.83 ↓ -92%
Prime Net Managed Medicare $909.68 ↓ -91%
UPMC Work Partners Workers Comp $1,869.35 ↓ -82%
Aetna ACO $2,259.16 ↓ -79%
Geisinger Commercial $2,461.39 ↓ -77%
Capital Blue Cross Commercial $2,554.62 ↓ -76%
Capital Blue Cross CHIP $2,554.62 ↓ -76%
Keystone Health Plan Commercial $2,554.62 ↓ -76%
UPMC Health Plan Commercial $2,631.30 ↓ -75%
Aetna Commercial $2,894.43 ↓ -73%
Multiplan PPO (Includes PHCS and Humana as Payers) $3,195.15 ↓ -70%
CareFirst Commercial $3,195.15 ↓ -70%
Wellspan Population Health Commercial $3,270.33 ↓ -69%
Tricare East Region not published by hospital
US Family Health Plan Tricare Prime not published by hospital

Visitor-reported prices

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Polatuzumab vedotin-piiq 140 mg intravenous solution at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $10,525.80 $135.30 – $3,195.15
UPMC Community Osteopathic Harrisburg $10,525.80 $86.23 – $3,195.15
UPMC Lititz Lititz $10,525.80 $135.30 – $218.67
UPMC Magee Pittsburgh $36,493.80 $52.28 – $147.60
UPMC Memorial York $10,525.80 $42.21 – $218.67
UPMC Muncy Muncy $36,544.20 $136.67 – $150.33
UPMC Passavant-McCandless Pittsburgh $36,493.80 $52.28 – $150.34
UPMC Somerset Somerset $10,525.80 $51.26 – $136.67

All Pennsylvania hospitals for this procedure →