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Ipilimumab 5 mg/ml intravenous solution (wrapper) 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.
$418.26
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.
$92.80 with Aetna vs $940.01 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 |
|---|---|---|---|
| Aetna | Neighborhood Network | $92.80 | — |
| UPMC Work Partners | Workers Comp | $95.12 | — |
| Aetna | Home Depot Employer Group | $100.90 | — |
| Aetna | NBR ASO/FI | $103.11 | — |
| Cigna | New Business ASO | $103.11 | — |
| UPMC Health Plan | Managed Medicaid | $115.85 | — |
| Aetna | EBR FI | $139.94 | — |
| Aetna | EBR ASO | $147.30 | — |
| Cigna | Commercial | $147.30 | — |
| UPMC Health Plan | Managed Medicare | $158.42 | — |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $175.90 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $183.48 | — |
| PA Health & Wellness | PA Medicaid HMO | $183.48 | — |
| Aetna of PA | Medicare | $192.65 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $198.14 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $198.16 | — |
| Aetna | Medicare | $201.83 | — |
| UPMC Health Plan | Commercial | $225.68 | — |
| Coventry/First Health | Commercial | $257.78 | — |
| Private Health Care Systems | PPO | $294.61 | — |
| SelectCare | Commercial | $294.61 | — |
| Humana | Commercial | $313.02 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $350.96 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $352.76 | — |
| Highmark BCBS of PA | Managed Care | $470.00 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $472.44 | — |
| Highmark BCBS of PA | UPMC Emergent | $940.01 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Ipilimumab 5 mg/ml intravenous solution (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $369.00 | $102.74 – $331.43 |
| UPMC Passavant-McCandless | Pittsburgh | $440.40 | $115.85 – $623.90 |
| UPMC Presbyterian | Pittsburgh | $655.20 | $115.85 – $928.20 |
| UPMC Northwest | Seneca | $495.00 | $115.85 – $313.02 |
| UPMC Somerset | Somerset | $511.80 | $172.48 – $639.75 |
| UPMC Williamsport | Williamsport | $664.80 | $183.48 – $996.30 |