Crizanlizumab-tmca 10 mg/ml intravenous solution at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$147.00
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.
$245.00
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.
$49.00 with Keystone Health Plan vs $208.25 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $49.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $49.00 | ↓ -67% |
| Prime Net | Managed Medicare | $59.29 | ↓ -60% |
| Aetna | ACO | $83.55 | ↓ -43% |
| Aetna | PEBTF ACO | $88.69 | ↓ -40% |
| Aetna | Commercial | $104.37 | ↓ -29% |
| UPMC Work Partners | Workers Comp | $104.84 | ↓ -29% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $128.19 | ↓ -13% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $129.48 | ↓ -12% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $129.48 | ↓ -12% |
| Geisinger | Medicaid/CHIP | $129.48 | ↓ -12% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $130.11 | ↓ -11% |
| Humana | Medicare | $133.36 | ↓ -9% |
| Aetna | Medicare | $135.05 | ↓ -8% |
| Cigna | Medicare | $135.95 | ↓ -8% |
| United Healthcare | Medicare | $138.54 | ↓ -6% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $139.84 | ↓ -5% |
| Capital Blue Cross | Commercial | $153.11 | ↑ +4% |
| Capital Blue Cross | CHIP | $153.11 | ↑ +4% |
| InterGroup | PPO | $159.25 | ↑ +8% |
| UPMC Health Plan | CHIP | $159.26 | ↑ +8% |
| Keystone Health Plan | Commercial | $159.78 | ↑ +9% |
| Highmark BCBS of PA | Commercial | $167.01 | ↑ +14% |
| Highmark BCBS of PA | CHIP | $167.01 | ↑ +14% |
| Prime Net | FH-Medical Rental | $184.24 | ↑ +25% |
| Wellspan Population Health | Commercial | $208.25 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Crizanlizumab-tmca 10 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Horizon-Greenville | Greenville | $379.20 | $81.75 – $242.97 |
| UPMC Magee | Pittsburgh | $436.20 | $81.75 – $139.84 |
| UPMC McKeesport | Mckeesport | $284.40 | $81.75 – $142.43 |
| UPMC Passavant-McCandless | Pittsburgh | $436.20 | $81.75 – $142.43 |
| UPMC Presbyterian | Pittsburgh | $8,721.00 | $81.75 – $142.43 |
| UPMC Wellsboro | Wellsboro | $272.40 | $129.48 – $142.43 |
| UPMC Western Psychiatric | Pittsburgh | $436.20 | $99.22 – $142.43 |