healthcosts.net
Risankizumab-rzaa 60 mg/ml intravenous solution at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$20.25
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.
$33.75
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.
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The hospital's undiscounted list price — almost no one pays this.
$6.98 with Highmark BCBS of PA vs $58.56 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare Advantage | $6.98 | ↓ -66% |
| UPMC Health Plan | Managed Medicaid | $9.43 | ↓ -53% |
| UPMC Work Partners | Workers Comp | $10.78 | ↓ -47% |
| Multiplan | Worker's Compensation | $12.54 | ↓ -38% |
| Geisinger | Medicaid/CHIP | $14.94 | ↓ -26% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.94 | ↓ -26% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $14.94 | ↓ -26% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $14.94 | ↓ -26% |
| Aetna | CHIP/Medicaid | $15.84 | ↓ -22% |
| AmeriHealth Caritas | Medicare | $16.14 | ↓ -20% |
| United Healthcare | Medicare | $16.14 | ↓ -20% |
| Cigna Lifesource | Medicare Transplant | $16.14 | ↓ -20% |
| Highmark Wholecare (prev Gateway) | Medicare | $16.14 | ↓ -20% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $16.14 | ↓ -20% |
| Aetna | Medicare | $16.43 | ↓ -19% |
| Aetna of PA | Medicare | $16.43 | ↓ -19% |
| UPMC Health Plan | Commercial | $18.38 | ↓ -9% |
| Preferred Healthcare System | PPO | $21.45 | ↑ +6% |
| Highmark BCBS of PA | Managed Care - Social Mission | $21.86 | ↑ +8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $22.48 | ↑ +11% |
| Coventry/First Health | Commercial | $23.10 | ↑ +14% |
| Fidelis | Medicare | $24.75 | ↑ +22% |
| InterGroup | InterGroup Services Corporation | $24.75 | ↑ +22% |
| Health Coalition Partners | Intergroup | $26.40 | ↑ +30% |
| Private Health Care Systems | PPO | $26.40 | ↑ +30% |
| SelectCare | Commercial | $26.40 | ↑ +30% |
| Multiplan | PPO | $26.40 | ↑ +30% |
| InterGroup | Approved National Affiliated PPO Business | $28.05 | ↑ +39% |
| Health Payors Organization | Commercial | $28.05 | ↑ +39% |
| Humana | Commercial | $28.05 | ↑ +39% |
| Highmark BCBS of PA | Managed Care | $29.28 | ↑ +45% |
| Highmark BCBS of PA | Commercial - Indemnity | $30.11 | ↑ +49% |
| Highmark BCBS of PA | UPMC Emergent | $58.56 | ↑ +189% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Risankizumab-rzaa 60 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $20.25 | $6.98 – $28.05 |
| UPMC St. Margaret | Pittsburgh | $27.00 | $6.98 – $28.05 |
| UPMC Western Psychiatric | Pittsburgh | $20.25 | $6.84 – $28.69 |
| UPMC Muncy | Muncy | $26.40 | $4.95 – $29.70 |
| UPMC Northwest | Seneca | $27.00 | $9.43 – $28.05 |
| UPMC Somerset | Somerset | $588.00 | $6.84 – $735.00 |
| UPMC Wellsboro | Wellsboro | $26.40 | $5.94 – $29.70 |
| UPMC Williamsport | Williamsport | $26.40 | $8.95 – $29.70 |