healthcosts.net
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$74.40
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.
?
What you pay up front if you don't use insurance.
$124.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$20.65 with Aetna vs $516.37 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna | Neighborhood Network | $20.65 | ↓ -72% |
| Aetna | Home Depot Employer Group | $22.53 | ↓ -70% |
| Aetna | NBR ASO/FI | $22.94 | ↓ -69% |
| Cigna | New Business ASO | $25.16 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $25.70 | ↓ -65% |
| Bravo | Medicare | $25.90 | ↓ -65% |
| Aetna | EBR FI | $28.12 | ↓ -62% |
| Cigna | Commercial | $29.60 | ↓ -60% |
| Aetna | EBR ASO | $29.60 | ↓ -60% |
| Coventry/First Health | Commercial | $32.56 | ↓ -56% |
| InterGroup | PPO | $37.00 | ↓ -50% |
| Cigna Behavioral Health | Commercial | $44.40 | ↓ -40% |
| Private Health Care Systems | PPO | $55.50 | ↓ -25% |
| InterGroup | Approved National Affiliated PPO Business | $59.20 | ↓ -20% |
| American Healthcare Group | Commercial | $59.20 | ↓ -20% |
| National Provider Network | PPO | $60.68 | ↓ -18% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $66.60 | ↓ -10% |
| Health Payors Organization | Commercial | $66.60 | ↓ -10% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $131.75 | ↑ +77% |
| UPMC Health Plan | Managed Medicaid | $149.40 | ↑ +101% |
| UPMC Health Plan | Managed Medicare | $197.25 | ↑ +165% |
| Geisinger | Medicaid/CHIP | $236.62 | ↑ +218% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $236.62 | ↑ +218% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $236.62 | ↑ +218% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $242.82 | ↑ +226% |
| Aetna of PA | Medicare | $248.45 | ↑ +234% |
| AmeriHealth Caritas | Medicare | $255.55 | ↑ +243% |
| Highmark Wholecare (prev Gateway) | Medicare | $255.55 | ↑ +243% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $255.55 | ↑ +243% |
| Aetna | Medicare | $260.28 | ↑ +250% |
| UPMC Health Plan | CHIP | $262.57 | ↑ +253% |
| UPMC Health Plan | Commercial | $291.04 | ↑ +291% |
| Highmark BCBS of PA | Managed Care - Social Mission | $374.88 | ↑ +404% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $385.54 | ↑ +418% |
| Highmark BCBS of PA | Managed Care | $502.08 | ↑ +575% |
| Highmark BCBS of PA | Commercial - Indemnity | $516.37 | ↑ +594% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $31,680.60 | $31.70 – $260.28 |
| UPMC Williamsport | Williamsport | $844.20 | $236.62 – $1,139.40 |
| UPMC Muncy | Muncy | $37,978.20 | $211.05 – $1,266.30 |
| UPMC Wellsboro | Wellsboro | $37,978.20 | $236.62 – $1,266.30 |