healthcosts.net
Inj glofitamab gxbm, 2.5 mg at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$6,717.00
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.
?
What you pay up front if you don't use insurance.
$11,195.00
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.
$1,097.79 with Highmark BCBS of PA vs $8,074.56 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,097.79 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $1,747.64 | ↓ -74% |
| UPMC Health Plan | Managed Medicare | $2,572.19 | ↓ -62% |
| Cigna | New Business ASO | $2,692.80 | ↓ -60% |
| Health Plan of Upper Ohio Valley | Medicare | $2,767.88 | ↓ -59% |
| PA Health & Wellness | PA Medicaid HMO | $2,767.88 | ↓ -59% |
| Health Plan of Upper Ohio Valley | Medicaid | $2,767.88 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,767.88 | ↓ -59% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,767.88 | ↓ -59% |
| UPMC Work Partners | Workers Comp | $2,850.41 | ↓ -58% |
| United Healthcare | Unison Advantage Non Special Needs | $2,906.27 | ↓ -57% |
| Aetna of PA | Medicare | $2,906.27 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,989.03 | ↓ -56% |
| AmeriHealth Caritas | Medicare | $2,989.31 | ↓ -55% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,989.31 | ↓ -55% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,014.43 | ↓ -55% |
| Aetna | Medicare | $3,044.67 | ↓ -55% |
| United Healthcare | Unison Advantage Special Needs | $3,044.67 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,046.96 | ↓ -55% |
| Cigna | Commercial | $3,168.00 | ↓ -53% |
| Private Health Care Systems | Workers' Comp | $3,314.52 | ↓ -51% |
| UPMC Health Plan | Commercial | $3,404.49 | ↓ -49% |
| Health Plan of Upper Ohio Valley | Commercial | $3,659.04 | ↓ -46% |
| Highmark BCBS of PA | Managed Care | $4,037.28 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,080.75 | ↓ -39% |
| Coventry/First Health | Commercial | $5,544.00 | ↓ -17% |
| InterGroup | PPO | $6,573.60 | ↓ -2% |
| Private Health Care Systems | PPO | $6,732.00 | ↑ +0% |
| Multiplan | PPO (Includes Workers' Comp) | $6,732.00 | ↑ +0% |
| Humana | Commercial | $6,732.00 | ↑ +0% |
| Highmark BCBS of PA | UPMC Emergent | $8,074.56 | ↑ +20% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj glofitamab gxbm, 2.5 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $6,717.00 | $1,097.79 – $9,515.75 |
| UPMC Western Psychiatric | Pittsburgh | $6,717.00 | $1,075.73 – $9,515.75 |
| UPMC Somerset | Somerset | $612.60 | $343.77 – $2,767.88 |