healthcosts.net
Reslizumab 10 mg/ml intravenous solution at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$34.05
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.
$56.75
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.
$6.23 with Highmark BCBS of PA vs $45.82 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 | $6.23 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $6.91 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $10.18 | ↓ -70% |
| Health Plan of Upper Ohio Valley | Medicare | $10.95 | ↓ -68% |
| PA Health & Wellness | PA Medicaid HMO | $10.95 | ↓ -68% |
| Health Plan of Upper Ohio Valley | Medicaid | $10.95 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.95 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $10.95 | ↓ -68% |
| United Healthcare | Unison Advantage Non Special Needs | $11.50 | ↓ -66% |
| Aetna of PA | Medicare | $11.50 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicare | $11.82 | ↓ -65% |
| AmeriHealth Caritas | Medicare | $11.83 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11.83 | ↓ -65% |
| Aetna | Medicare | $12.04 | ↓ -65% |
| United Healthcare | Unison Advantage Special Needs | $12.04 | ↓ -65% |
| UPMC Health Plan | Commercial | $13.47 | ↓ -60% |
| Cigna | New Business ASO | $13.60 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $14.40 | ↓ -58% |
| Cigna | Commercial | $16.00 | ↓ -53% |
| Private Health Care Systems | Workers' Comp | $16.74 | ↓ -51% |
| Highmark BCBS of PA | Managed Care - Social Mission | $17.11 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $17.29 | ↓ -49% |
| Health Plan of Upper Ohio Valley | Commercial | $18.48 | ↓ -46% |
| Highmark BCBS of PA | Managed Care | $22.91 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $23.16 | ↓ -32% |
| Coventry/First Health | Commercial | $28.00 | ↓ -18% |
| InterGroup | PPO | $33.20 | ↓ -2% |
| Private Health Care Systems | PPO | $34.00 | ↓ -0% |
| Multiplan | PPO (Includes Workers' Comp) | $34.00 | ↓ -0% |
| Humana | Commercial | $34.00 | ↓ -0% |
| Highmark BCBS of PA | UPMC Emergent | $45.82 | ↑ +35% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Reslizumab 10 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $34.40 | $6.17 – $38.70 |
| UPMC Presbyterian | Pittsburgh | $3,418.80 | $6.23 – $36.55 |
| UPMC St. Margaret | Pittsburgh | $34.40 | $6.23 – $36.55 |
| UPMC Western Psychiatric | Pittsburgh | $34.05 | $6.10 – $48.24 |
| UPMC Northwest | Seneca | $34.40 | $6.91 – $36.55 |
| UPMC Somerset | Somerset | $64.20 | $6.11 – $80.25 |