healthcosts.net
Brentuximab vedotin 50 mg intravenous solution at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
not published by hospital
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.
$22,317.50
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.
$91.42 with Highmark BCBS of PA vs $18,969.88 with Humana — 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 | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $91.42 | — |
| UPMC Health Plan | Managed Medicaid | $163.31 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $207.01 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $208.07 | — |
| UPMC Health Plan | Managed Medicare | $223.31 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $258.64 | — |
| PA Health & Wellness | PA Medicaid HMO | $258.64 | — |
| Aetna of PA | Medicare | $271.57 | — |
| Highmark BCBS of PA | Managed Care | $277.23 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $278.66 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $279.31 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $279.33 | — |
| Aetna | Medicare | $284.50 | — |
| UPMC Health Plan | Commercial | $318.13 | — |
| Highmark BCBS of PA | UPMC Emergent | $554.45 | — |
| Aetna | Neighborhood Network | $5,624.01 | — |
| UPMC Work Partners | Workers Comp | $5,764.61 | — |
| Aetna | Home Depot Employer Group | $6,114.99 | — |
| Aetna | NBR ASO/FI | $6,248.90 | — |
| Cigna | New Business ASO | $6,248.90 | — |
| Aetna | EBR FI | $8,480.65 | — |
| Aetna | EBR ASO | $8,927.00 | — |
| Cigna | Commercial | $8,927.00 | — |
| Coventry/First Health | Commercial | $15,622.25 | — |
| Private Health Care Systems | PPO | $17,854.00 | — |
| SelectCare | Commercial | $17,854.00 | — |
| Humana | Commercial | $18,969.88 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Brentuximab vedotin 50 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $513.60 | $91.42 – $727.60 |
| UPMC Presbyterian | Pittsburgh | $25,683.00 | $91.42 – $727.60 |
| UPMC Western Psychiatric | Pittsburgh | $513.60 | $89.59 – $727.60 |
| UPMC Muncy | Muncy | $31,641.60 | $158.10 – $948.60 |
| UPMC Somerset | Somerset | $6,781.20 | $89.64 – $8,476.50 |
| UPMC Wellsboro | Wellsboro | $31,641.60 | $189.72 – $948.60 |
| UPMC Williamsport | Williamsport | $843.20 | $258.64 – $948.60 |