healthcosts.net
Ipilimumab 5 mg/ml intravenous solution (wrapper) at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$495.00
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.
$825.00
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.
$115.85 with UPMC Health Plan vs $386.06 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 | $115.85 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $132.98 | ↓ -73% |
| Aetna | EBR ASO | $147.30 | ↓ -70% |
| Cigna | Commercial | $147.30 | ↓ -70% |
| UPMC Health Plan | Managed Medicare | $166.40 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $183.48 | ↓ -63% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $183.48 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicaid | $183.48 | ↓ -63% |
| PA Health & Wellness | PA Medicaid HMO | $183.48 | ↓ -63% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $187.85 | ↓ -62% |
| Aetna | Medicare | $188.98 | ↓ -62% |
| Aetna of PA | Medicare | $192.65 | ↓ -61% |
| United Healthcare | Unison Advantage Non Special Needs | $192.65 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $198.14 | ↓ -60% |
| AmeriHealth Caritas | Medicare | $198.16 | ↓ -60% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $198.16 | ↓ -60% |
| United Healthcare | Unison Advantage Special Needs | $201.83 | ↓ -59% |
| Aetna | EBR FI | $213.59 | ↓ -57% |
| Aetna | Neighborhood Network | $220.96 | ↓ -55% |
| UPMC Health Plan | Commercial | $225.68 | ↓ -54% |
| Aetna | Home Depot Employer Group | $227.22 | ↓ -54% |
| Aetna | NBR ASO/FI | $232.00 | ↓ -53% |
| Cigna | New Business ASO | $232.00 | ↓ -53% |
| InterGroup | PPO | $239.37 | ↓ -52% |
| Coventry/First Health | Commercial | $257.78 | ↓ -48% |
| Health Coalition Partners | PPO | $265.15 | ↓ -46% |
| Private Health Care Systems | PPO | $294.61 | ↓ -40% |
| Humana | Commercial | $313.02 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $313.34 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $386.06 | ↓ -22% |
| 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 Somerset | Somerset | $511.80 | $172.48 – $639.75 |
| UPMC Williamsport | Williamsport | $664.80 | $183.48 – $996.30 |
| UPMC St. Margaret | Pittsburgh | not published | $92.80 – $313.02 |