Golimumab 12.5 mg/ml intravenous solution at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$108.00
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.
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What you pay up front if you don't use insurance.
$135.00
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.
$6.97 with UPMC Health Plan vs $261.52 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 | $6.97 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $9.53 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.04 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $11.04 | ↓ -90% |
| Aetna of PA | Medicare | $11.59 | ↓ -89% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11.92 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $11.92 | ↓ -89% |
| Aetna | Medicare | $12.14 | ↓ -89% |
| UPMC Health Plan | Commercial | $13.58 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $33.91 | ↓ -69% |
| Aetna | Neighborhood Network | $34.02 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $34.87 | ↓ -68% |
| Aetna | Home Depot Employer Group | $36.99 | ↓ -66% |
| Cigna | New Business ASO | $37.80 | ↓ -65% |
| Aetna | NBR ASO/FI | $37.80 | ↓ -65% |
| Aetna | EBR FI | $51.30 | ↓ -53% |
| Aetna | EBR ASO | $54.00 | ↓ -50% |
| Cigna | Commercial | $54.00 | ↓ -50% |
| Coventry/First Health | Commercial | $94.50 | ↓ -13% |
| Highmark BCBS of PA | Managed Care - Social Mission | $97.64 | ↓ -10% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $98.14 | ↓ -9% |
| Private Health Care Systems | PPO | $108.00 | ↑ +0% |
| SelectCare | Commercial | $108.00 | ↑ +0% |
| Humana | Commercial | $114.75 | ↑ +6% |
| Highmark BCBS of PA | Managed Care | $130.76 | ↑ +21% |
| Highmark BCBS of PA | Commercial - Indemnity | $131.44 | ↑ +22% |
| Highmark BCBS of PA | UPMC Emergent | $261.52 | ↑ +142% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Golimumab 12.5 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $299.40 | $10.93 – $424.15 |
| UPMC Cole | Coudersport | $4,977.60 | $11.04 – $6,636.80 |
| UPMC Community Osteopathic | Harrisburg | $299.40 | $10.93 – $424.15 |
| UPMC East | Monroeville | $4,035.60 | $6.97 – $108.00 |
| UPMC Hanover | Hanover | $299.40 | $10.93 – $17.66 |
| UPMC Jameson | New Castle | $2,371.80 | $6.97 – $34.18 |
| UPMC Lititz | Lititz | $299.40 | $10.93 – $17.66 |
| UPMC Memorial | York | $299.40 | $11.04 – $27.38 |