healthcosts.net
Brentuximab vedotin 50 mg intravenous solution at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$368.80
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.
$22,317.50
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.
$90.56 with Highmark BCBS of PA vs $414.90 with Health Payors Organization — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $90.56 | ↓ -75% |
| Aetna | Neighborhood Network | $128.62 | ↓ -65% |
| Aetna | Home Depot Employer Group | $140.37 | ↓ -62% |
| Aetna | NBR ASO/FI | $142.91 | ↓ -61% |
| Cigna | New Business ASO | $156.74 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $160.11 | ↓ -57% |
| Bravo | Medicare | $161.35 | ↓ -56% |
| UPMC Health Plan | Managed Medicaid | $163.31 | ↓ -56% |
| Aetna | EBR FI | $175.18 | ↓ -53% |
| Cigna | Commercial | $184.40 | ↓ -50% |
| Aetna | EBR ASO | $184.40 | ↓ -50% |
| Highmark BCBS of PA | Managed Care - Social Mission | $202.62 | ↓ -45% |
| Coventry/First Health | Commercial | $202.84 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $208.38 | ↓ -43% |
| UPMC Health Plan | Managed Medicare | $215.60 | ↓ -42% |
| InterGroup | PPO | $230.50 | ↓ -38% |
| Geisinger | Medicaid/CHIP | $258.64 | ↓ -30% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $258.64 | ↓ -30% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $258.64 | ↓ -30% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $265.42 | ↓ -28% |
| UPMC Health Plan | CHIP | $267.60 | ↓ -27% |
| Highmark BCBS of PA | Managed Care | $271.37 | ↓ -26% |
| Aetna of PA | Medicare | $271.57 | ↓ -26% |
| Cigna Behavioral Health | Commercial | $276.60 | ↓ -25% |
| Highmark BCBS of PA | Commercial - Indemnity | $279.09 | ↓ -24% |
| AmeriHealth Caritas | Medicare | $279.33 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $279.33 | ↓ -24% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $279.33 | ↓ -24% |
| Aetna | Medicare | $284.50 | ↓ -23% |
| UPMC Health Plan | Commercial | $318.13 | ↓ -14% |
| Private Health Care Systems | PPO | $345.75 | ↓ -6% |
| InterGroup | Approved National Affiliated PPO Business | $368.80 | ↑ +0% |
| American Healthcare Group | Commercial | $368.80 | ↑ +0% |
| National Provider Network | PPO | $378.02 | ↑ +3% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $414.90 | ↑ +13% |
| Health Payors Organization | Commercial | $414.90 | ↑ +13% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Brentuximab vedotin 50 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $25,683.00 | $91.42 – $727.60 |
| UPMC St. Margaret | Pittsburgh | not published | $91.42 – $18,969.88 |
| UPMC Muncy | Muncy | $31,641.60 | $158.10 – $948.60 |
| UPMC Somerset | Somerset | $6,781.20 | $89.64 – $8,476.50 |
| UPMC Wellsboro | Wellsboro | $31,641.60 | $189.72 – $948.60 |
| UPMC Williamsport | Williamsport | $843.20 | $258.64 – $948.60 |