healthcosts.net
Ipilimumab 5 mg/ml intravenous solution (wrapper) at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$369.00
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.
$615.00
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.
$102.74 with Aetna vs $473.17 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 |
|---|---|---|---|
| Aetna | Neighborhood Network | $102.74 | ↓ -72% |
| Aetna | Home Depot Employer Group | $112.14 | ↓ -70% |
| Aetna | NBR ASO/FI | $114.16 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $115.85 | ↓ -69% |
| Cigna | New Business ASO | $125.21 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $127.90 | ↓ -65% |
| Bravo | Medicare | $128.89 | ↓ -65% |
| Aetna | EBR FI | $139.94 | ↓ -62% |
| Cigna | Commercial | $147.30 | ↓ -60% |
| Aetna | EBR ASO | $147.30 | ↓ -60% |
| UPMC Health Plan | Managed Medicare | $152.95 | ↓ -59% |
| Coventry/First Health | Commercial | $162.03 | ↓ -56% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $174.24 | ↓ -53% |
| Geisinger | Medicaid/CHIP | $183.48 | ↓ -50% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $183.48 | ↓ -50% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $183.48 | ↓ -50% |
| InterGroup | PPO | $184.13 | ↓ -50% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $188.29 | ↓ -49% |
| Aetna of PA | Medicare | $192.65 | ↓ -48% |
| AmeriHealth Caritas | Medicare | $198.16 | ↓ -46% |
| Highmark Wholecare (prev Gateway) | Medicare | $198.16 | ↓ -46% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $198.16 | ↓ -46% |
| UPMC Health Plan | CHIP | $200.07 | ↓ -46% |
| Aetna | Medicare | $201.83 | ↓ -45% |
| Cigna Behavioral Health | Commercial | $220.96 | ↓ -40% |
| UPMC Health Plan | Commercial | $225.68 | ↓ -39% |
| Private Health Care Systems | PPO | $276.19 | ↓ -25% |
| InterGroup | Approved National Affiliated PPO Business | $294.61 | ↓ -20% |
| American Healthcare Group | Commercial | $294.61 | ↓ -20% |
| National Provider Network | PPO | $301.97 | ↓ -18% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $331.43 | ↓ -10% |
| Health Payors Organization | Commercial | $331.43 | ↓ -10% |
| Highmark BCBS of PA | Managed Care - Social Mission | $343.52 | ↓ -7% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $353.28 | ↓ -4% |
| Highmark BCBS of PA | Managed Care | $460.07 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Indemnity | $473.17 | ↑ +28% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ipilimumab 5 mg/ml intravenous solution (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $440.40 | $115.85 – $623.90 |
| UPMC Presbyterian | Pittsburgh | $655.20 | $115.85 – $928.20 |
| UPMC St. Margaret | Pittsburgh | not published | $92.80 – $313.02 |
| UPMC Northwest | Seneca | $495.00 | $115.85 – $313.02 |
| UPMC Somerset | Somerset | $511.80 | $172.48 – $639.75 |
| UPMC Williamsport | Williamsport | $664.80 | $183.48 – $996.30 |