Cetuximab 100 mg/50 ml intravenous solution at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$3,594.00
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.
$5,990.00
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.
$49.48 with UPMC Health Plan vs $444.93 with Highmark BCBS of PA — 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 | $49.48 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $73.35 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $78.37 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $78.37 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $78.37 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $78.37 | ↓ -98% |
| UPMC Health Plan | Partners/Select | $80.39 | ↓ -98% |
| Aetna of PA | Medicare | $82.29 | ↓ -98% |
| Aetna | CHIP/Medicaid | $83.07 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $84.63 | ↓ -98% |
| AmeriHealth Caritas | Medicare | $84.64 | ↓ -98% |
| United Healthcare | Medicare | $84.64 | ↓ -98% |
| UPMC Health Plan | CHIP | $85.54 | ↓ -98% |
| Aetna | Medicare | $86.21 | ↓ -98% |
| UPMC Health Plan | Commercial | $96.39 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $98.46 | ↓ -97% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $102.68 | ↓ -97% |
| Aetna | Neighborhood Network | $154.44 | ↓ -96% |
| Aetna | EBR FI | $167.31 | ↓ -95% |
| Aetna | Home Depot Employer Group | $168.17 | ↓ -95% |
| Cigna | New Business ASO | $171.60 | ↓ -95% |
| Aetna | EBR ASO | $171.60 | ↓ -95% |
| Aetna | NBR ASO/FI | $171.60 | ↓ -95% |
| Cigna | Commercial | $171.60 | ↓ -95% |
| InterGroup | PPO | $214.50 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $218.42 | ↓ -94% |
| Highmark BCBS of PA | Managed Care - Social Mission | $221.48 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Indemnity | $292.51 | ↓ -92% |
| Highmark BCBS of PA | Managed Care | $296.62 | ↓ -92% |
| Coventry/First Health | Commercial | $300.30 | ↓ -92% |
| Preferred Healthcare System | PPO | $343.20 | ↓ -90% |
| Private Health Care Systems | PPO | $364.65 | ↓ -90% |
| Humana | Commercial | $364.65 | ↓ -90% |
| Multiplan | PPO | $394.68 | ↓ -89% |
| Highmark BCBS of PA | UPMC Emergent | $444.93 | ↓ -88% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cetuximab 100 mg/50 ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $280.20 | $49.48 – $101.71 |
| UPMC Passavant-McCandless | Pittsburgh | $277.80 | $49.48 – $102.68 |
| UPMC Presbyterian | Pittsburgh | $7,483.80 | $49.48 – $102.68 |
| UPMC St. Margaret | Pittsburgh | not published | $49.48 – $102.68 |
| UPMC Altoona | Altoona | $183.60 | $49.48 – $244.80 |
| UPMC Cole | Coudersport | $4,044.00 | $78.37 – $2,696.00 |
| UPMC Hamot | Erie | $5,800.20 | $49.48 – $91.67 |
| UPMC Northwest | Seneca | $210.60 | $49.48 – $84.64 |