Vedolizumab 300 mg intravenous solution at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$5,199.60
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.
$8,666.00
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.
$21.10 with Highmark BCBS of PA vs $7,539.42 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 | $21.10 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $21.31 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $21.31 | ↓ -100% |
| Humana | Medicare | $21.31 | ↓ -100% |
| PA Health & Wellness | PA Medicaid HMO | $21.31 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $21.74 | ↓ -100% |
| Aetna | Medicare | $22.23 | ↓ -100% |
| Cigna | Medicare | $22.38 | ↓ -100% |
| Geisinger | Medicare | $22.38 | ↓ -100% |
| United Healthcare | Medicare | $22.80 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $23.01 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $23.44 | ↓ -100% |
| UPMC Health Plan | CHIP | $26.21 | ↓ -99% |
| Cigna | Commercial | $31.10 | ↓ -99% |
| Keystone Autism Services | ACAP | $34.10 | ↓ -99% |
| Highmark BCBS of PA | Medicaid | $70.69 | ↓ -99% |
| Highmark BCBS of PA | Commercial | $75.80 | ↓ -99% |
| United Healthcare | Commercial | $154.92 | ↓ -97% |
| Keystone Health Plan | Medicare Advantage | $1,646.54 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $1,646.54 | ↓ -68% |
| Prime Net | Managed Medicare | $2,097.17 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $4,309.60 | ↓ -17% |
| Aetna | ACO | $4,922.29 | ↓ -5% |
| Geisinger | Commercial | $5,674.50 | ↑ +9% |
| Keystone Health Plan | Commercial | $5,889.41 | ↑ +13% |
| Capital Blue Cross | CHIP | $5,889.41 | ↑ +13% |
| Capital Blue Cross | Commercial | $5,889.41 | ↑ +13% |
| UPMC Health Plan | Commercial | $6,066.20 | ↑ +17% |
| Aetna | Commercial | $6,308.85 | ↑ +21% |
| CareFirst | Commercial | $7,366.10 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $7,366.10 | ↑ +42% |
| Wellspan Population Health | Commercial | $7,539.42 | ↑ +45% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Vedolizumab 300 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $15,127.80 | $11.51 – $67.20 |
| UPMC Bedford | Everett | $16,630.20 | $7.69 – $82.80 |
| UPMC Carlisle | Carlisle | $5,199.60 | $21.10 – $7,366.10 |
| UPMC Cole | Coudersport | $23,305.80 | $21.31 – $31,074.40 |
| UPMC Community Osteopathic | Harrisburg | $5,199.60 | $19.16 – $7,366.10 |
| UPMC East | Monroeville | $16,630.20 | $11.00 – $73.60 |
| UPMC Hamot | Erie | $19,012.80 | $11.51 – $23.01 |
| UPMC Jameson | New Castle | $13,172.40 | $11.71 – $26.64 |