Mayo adalimumab (humira) therapeutic drug level at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$171.00
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.
$285.00
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.
$18.48 with United Healthcare vs $217.06 with UPMC Health Plan — 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 |
|---|---|---|---|
| United Healthcare | Compass Exchange | $18.48 | ↓ -89% |
| Aetna | Neighborhood Network | $19.66 | ↓ -89% |
| Aetna | EBR FI | $21.28 | ↓ -88% |
| Aetna | Home Depot Employer Group | $21.39 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $21.80 | ↓ -87% |
| Aetna | NBR ASO/FI | $21.84 | ↓ -87% |
| Cigna | New Business ASO | $21.84 | ↓ -87% |
| Cigna | NBR ASO/FI | $21.84 | ↓ -87% |
| United Healthcare | All Business | $21.84 | ↓ -87% |
| Aetna | EBR ASO | $22.40 | ↓ -87% |
| Cigna | EBR | $22.40 | ↓ -87% |
| Cigna | Commercial | $22.40 | ↓ -87% |
| InterGroup | PPO | $28.00 | ↓ -84% |
| PA Health & Wellness | PA Medicaid HMO | $30.80 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $30.80 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $37.90 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $38.12 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $38.67 | ↓ -77% |
| Coventry/First Health | Commercial | $39.20 | ↓ -77% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $39.40 | ↓ -77% |
| Aetna of PA | Medicare | $40.50 | ↓ -76% |
| United Healthcare | Unison Advantage Non Special Needs | $40.50 | ↓ -76% |
| United Healthcare | Medicare | $41.27 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $41.65 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $41.66 | ↓ -76% |
| Cigna | Medicare | $41.66 | ↓ -76% |
| AmeriHealth Caritas | Medicare | $41.66 | ↓ -76% |
| United Healthcare | Unison Advantage Special Needs | $42.43 | ↓ -75% |
| Aetna | Medicare | $42.43 | ↓ -75% |
| Private Health Care Systems | PPO | $44.80 | ↓ -74% |
| Highmark BCBS of PA | Managed Care | $50.76 | ↓ -70% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $63.11 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Indemnity | $84.52 | ↓ -51% |
| UPMC Health Plan | Commercial | $101.20 | ↓ -41% |
| Highmark BCBS of PA | UPMC Emergent | $101.53 | ↓ -41% |
| UPMC Health Plan | CHIP | $217.06 | ↑ +27% |
Visitor-reported prices
Comments
Mayo adalimumab (humira) therapeutic drug level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $189.00 | $21.60 – $252.00 |
| UPMC Bedford | Everett | $144.60 | $13.92 – $216.90 |
| UPMC Carlisle | Carlisle | $85.80 | $19.59 – $121.55 |
| UPMC Community Osteopathic | Harrisburg | $85.80 | $28.60 – $217.06 |
| UPMC Hamot | Erie | $155.40 | $21.60 – $41.66 |
| UPMC Northwest | Seneca | $141.00 | $34.98 – $41.66 |
| UPMC Hanover | Hanover | $85.80 | $22.37 – $217.06 |
| UPMC Horizon-Greenville | Greenville | $134.40 | $34.53 – $41.66 |