Inj, adalimumab, 1 mg at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$220.20
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.
$367.00
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.
$30.75 with UPMC Work Partners vs $3,701.49 with United Healthcare Community Plan for Families — 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 Work Partners | Workers Comp | $30.75 | ↓ -86% |
| UPMC Health Plan | CHIP | $46.90 | ↓ -79% |
| Aetna | Neighborhood Network | $48.24 | ↓ -78% |
| Aetna | EBR FI | $52.26 | ↓ -76% |
| Aetna | Home Depot Employer Group | $52.53 | ↓ -76% |
| Cigna | Commercial | $53.60 | ↓ -76% |
| Aetna | EBR ASO | $53.60 | ↓ -76% |
| Aetna | NBR ASO/FI | $53.60 | ↓ -76% |
| Cigna | New Business ASO | $53.60 | ↓ -76% |
| UPMC Health Plan | Commercial | $58.29 | ↓ -74% |
| InterGroup | PPO | $67.00 | ↓ -70% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $67.00 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $73.70 | ↓ -67% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $73.70 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $85.85 | ↓ -61% |
| Coventry/First Health | Commercial | $93.80 | ↓ -57% |
| UPMC Health Plan | Partners/Select | $94.10 | ↓ -57% |
| Aetna of PA | Medicare | $96.32 | ↓ -56% |
| Aetna | CHIP/Medicaid | $97.23 | ↓ -56% |
| Highmark Wholecare (prev Gateway) | Medicare | $99.06 | ↓ -55% |
| United Healthcare | Medicare | $99.07 | ↓ -55% |
| AmeriHealth Caritas | Medicare | $99.07 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $99.40 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Indemnity | $99.40 | ↓ -55% |
| Aetna | Medicare | $100.90 | ↓ -54% |
| Highmark BCBS of PA | Managed Care | $102.68 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $102.68 | ↓ -53% |
| Preferred Healthcare System | PPO | $107.20 | ↓ -51% |
| Private Health Care Systems | PPO | $113.90 | ↓ -48% |
| Humana | Commercial | $113.90 | ↓ -48% |
| Multiplan | PPO | $123.28 | ↓ -44% |
| Highmark BCBS of PA | UPMC Emergent | $154.03 | ↓ -30% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $3,701.49 | ↑ +1581% |
Visitor-reported prices
Comments
Inj, adalimumab, 1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $59.26 – $192.62 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $73.55 – $192.62 |