Abatacept (with maltose) 250 mg intravenous solution at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$212.80
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.
$266.00
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.
$27.85 with UPMC Health Plan vs $226.10 with Humana — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $27.85 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $38.51 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $40.89 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $44.11 | ↓ -79% |
| PA Health & Wellness | PA Medicaid HMO | $44.11 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $44.11 | ↓ -79% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $45.25 | ↓ -79% |
| Aetna of PA | Medicare | $46.32 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $47.64 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $47.64 | ↓ -78% |
| AmeriHealth Caritas | Medicare | $47.64 | ↓ -78% |
| Aetna | Medicare | $48.52 | ↓ -77% |
| UPMC Health Plan | CHIP | $50.09 | ↓ -76% |
| UPMC Health Plan | Commercial | $54.25 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $73.55 | ↓ -65% |
| Aetna | Neighborhood Network | $92.30 | ↓ -57% |
| Aetna | Home Depot Employer Group | $100.28 | ↓ -53% |
| Aetna | EBR FI | $101.08 | ↓ -53% |
| Cigna | New Business ASO | $102.41 | ↓ -52% |
| Aetna | NBR ASO/FI | $102.41 | ↓ -52% |
| Cigna | Commercial | $106.40 | ↓ -50% |
| Aetna | EBR ASO | $106.40 | ↓ -50% |
| InterGroup | PPO | $133.00 | ↓ -38% |
| Highmark BCBS of PA | Managed Care - Social Mission | $144.02 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $145.17 | ↓ -32% |
| Cigna Behavioral Health | Commercial | $159.60 | ↓ -25% |
| Coventry/First Health | Commercial | $186.20 | ↓ -13% |
| Highmark BCBS of PA | Managed Care | $192.88 | ↓ -9% |
| Highmark BCBS of PA | Commercial - Indemnity | $194.42 | ↓ -9% |
| Private Health Care Systems | PPO | $212.80 | ↑ +0% |
| SelectCare | Commercial | $212.80 | ↑ +0% |
| Humana | Commercial | $226.10 | ↑ +6% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Abatacept (with maltose) 250 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $1,823.40 | $15.91 – $108.90 |
| UPMC Carlisle | Carlisle | $856.80 | $43.67 – $998.75 |
| UPMC Cole | Coudersport | $2,926.80 | $44.11 – $3,902.40 |
| UPMC Community Osteopathic | Harrisburg | $856.80 | $43.67 – $998.75 |
| UPMC East | Monroeville | $228.00 | $27.85 – $228.00 |
| UPMC Hanover | Hanover | $856.80 | $43.67 – $70.58 |
| UPMC Lititz | Lititz | $856.80 | $43.67 – $70.58 |
| UPMC Magee | Pittsburgh | $3,987.00 | $27.85 – $47.64 |