healthcosts.net
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$37.80
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.
$63.00
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.
$2.47 with UPMC Health Plan vs $6,986.07 with Aetna — 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 | $2.47 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $3.55 | ↓ -91% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3.91 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $3.91 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $3.91 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3.91 | ↓ -90% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $4.00 | ↓ -89% |
| Aetna | Medicare | $4.03 | ↓ -89% |
| United Healthcare | Unison Advantage Non Special Needs | $4.11 | ↓ -89% |
| Aetna of PA | Medicare | $4.11 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $4.22 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.22 | ↓ -89% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.22 | ↓ -89% |
| United Healthcare | Unison Advantage Special Needs | $4.30 | ↓ -89% |
| UPMC Health Plan | Commercial | $4.81 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $10.47 | ↓ -72% |
| Cigna | Commercial | $11.60 | ↓ -69% |
| Aetna | EBR ASO | $11.60 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $15.10 | ↓ -60% |
| Aetna | EBR FI | $16.82 | ↓ -56% |
| Aetna | Neighborhood Network | $17.40 | ↓ -54% |
| Aetna | Home Depot Employer Group | $17.89 | ↓ -53% |
| Aetna | NBR ASO/FI | $18.27 | ↓ -52% |
| Cigna | New Business ASO | $18.27 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $18.60 | ↓ -51% |
| InterGroup | PPO | $18.85 | ↓ -50% |
| Coventry/First Health | Commercial | $20.30 | ↓ -46% |
| Health Coalition Partners | PPO | $20.88 | ↓ -45% |
| Private Health Care Systems | PPO | $23.20 | ↓ -39% |
| Humana | Commercial | $24.65 | ↓ -35% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $6,112.81 | ↑ +16071% |
| United Healthcare Community Plan for Families | Unison Kids | $6,694.99 | ↑ +17612% |
| Aetna | Medicaid | $6,986.07 | ↑ +18382% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $35.00 | $2.47 – $6,694.99 |
| UPMC Muncy | Muncy | $34.60 | $3.91 – $38.92 |
| UPMC St. Margaret | Pittsburgh | $35.00 | $2.47 – $6,403.90 |
| UPMC Wellsboro | Wellsboro | $34.60 | $3.91 – $5,821.73 |
| UPMC Western Psychiatric | Pittsburgh | $34.80 | $3.91 – $47.60 |
| UPMC Williamsport | Williamsport | $34.60 | $3.91 – $38.70 |