healthcosts.net
Ocrelizumab 30 mg/ml intravenous solution at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$208.80
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.
?
What you pay up front if you don't use insurance.
$40,625.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$37.51 with UPMC Health Plan vs $221.85 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $37.51 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $53.88 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $59.41 | ↓ -72% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $59.41 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $59.41 | ↓ -72% |
| PA Health & Wellness | PA Medicaid HMO | $59.41 | ↓ -72% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $60.82 | ↓ -71% |
| Aetna | Medicare | $61.19 | ↓ -71% |
| Aetna of PA | Medicare | $62.38 | ↓ -70% |
| United Healthcare | Unison Advantage Non Special Needs | $62.38 | ↓ -70% |
| AmeriHealth Caritas | Medicare | $64.16 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $64.16 | ↓ -69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $64.16 | ↓ -69% |
| United Healthcare | Unison Advantage Special Needs | $65.35 | ↓ -69% |
| UPMC Health Plan | Commercial | $73.08 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $94.25 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $101.65 | ↓ -51% |
| Aetna | EBR ASO | $104.40 | ↓ -50% |
| Cigna | Commercial | $104.40 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $125.24 | ↓ -40% |
| Aetna | EBR FI | $151.38 | ↓ -28% |
| Aetna | Neighborhood Network | $156.60 | ↓ -25% |
| Aetna | Home Depot Employer Group | $161.04 | ↓ -23% |
| Aetna | NBR ASO/FI | $164.43 | ↓ -21% |
| Cigna | New Business ASO | $164.43 | ↓ -21% |
| InterGroup | PPO | $169.65 | ↓ -19% |
| Coventry/First Health | Commercial | $182.70 | ↓ -13% |
| Health Coalition Partners | PPO | $187.92 | ↓ -10% |
| Private Health Care Systems | PPO | $208.80 | ↑ +0% |
| Humana | Commercial | $221.85 | ↑ +6% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ocrelizumab 30 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $52,712.40 | $37.51 – $74,675.90 |
| UPMC Somerset | Somerset | $1,182.60 | $38.77 – $1,478.25 |
| UPMC St. Margaret | Pittsburgh | not published | $37.51 – $34,531.25 |