healthcosts.net
Rituximab-pvvr 10 mg/ml intravenous solution at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$7,826.40
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.
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What you pay up front if you don't use insurance.
$13,044.00
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.
$17.58 with UPMC Health Plan vs $239.10 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 | $17.58 | ↓ -100% |
| UPMC Health Plan | Managed Medicare | $23.22 | ↓ -100% |
| UPMC Health Plan | CHIP | $23.73 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $27.84 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $27.84 | ↓ -100% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $27.84 | ↓ -100% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $28.58 | ↓ -100% |
| Aetna of PA | Medicare | $29.24 | ↓ -100% |
| AmeriHealth Caritas | Medicare | $30.08 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $30.08 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $30.08 | ↓ -100% |
| Aetna | Medicare | $30.64 | ↓ -100% |
| UPMC Health Plan | Commercial | $34.25 | ↓ -100% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $61.01 | ↓ -99% |
| Aetna | Neighborhood Network | $72.82 | ↓ -99% |
| Aetna | Home Depot Employer Group | $79.47 | ↓ -99% |
| Aetna | NBR ASO/FI | $80.91 | ↓ -99% |
| Cigna | New Business ASO | $88.74 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $90.65 | ↓ -99% |
| Bravo | Medicare | $91.35 | ↓ -99% |
| Aetna | EBR FI | $99.18 | ↓ -99% |
| Cigna | Commercial | $104.40 | ↓ -99% |
| Aetna | EBR ASO | $104.40 | ↓ -99% |
| Coventry/First Health | Commercial | $114.84 | ↓ -99% |
| InterGroup | PPO | $130.50 | ↓ -98% |
| Cigna Behavioral Health | Commercial | $156.60 | ↓ -98% |
| Highmark BCBS of PA | Managed Care - Social Mission | $173.58 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $178.52 | ↓ -98% |
| Private Health Care Systems | PPO | $195.75 | ↓ -97% |
| InterGroup | Approved National Affiliated PPO Business | $208.80 | ↓ -97% |
| American Healthcare Group | Commercial | $208.80 | ↓ -97% |
| National Provider Network | PPO | $214.02 | ↓ -97% |
| Highmark BCBS of PA | Managed Care | $232.48 | ↓ -97% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $234.90 | ↓ -97% |
| Health Payors Organization | Commercial | $234.90 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Indemnity | $239.10 | ↓ -97% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Rituximab-pvvr 10 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $7,826.40 | $17.58 – $221.85 |
| UPMC Presbyterian | Pittsburgh | $10,438.20 | $17.58 – $297.50 |
| UPMC St. Margaret | Pittsburgh | $7,826.40 | $17.58 – $221.85 |
| UPMC Northwest | Seneca | $7,826.40 | $17.58 – $209.10 |
| UPMC Williamsport | Williamsport | $7,463.40 | $27.84 – $224.10 |