healthcosts.net
Rituximab 10 mg/ml concentrate,intravenous at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$274.40
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.
$12,419.00
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.
$47.49 with UPMC Health Plan vs $290.70 with Humana — 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 | $47.49 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $68.22 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $75.22 | ↓ -73% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $75.22 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $75.22 | ↓ -73% |
| PA Health & Wellness | PA Medicaid HMO | $75.22 | ↓ -73% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $77.01 | ↓ -72% |
| Aetna | Medicare | $77.48 | ↓ -72% |
| Aetna of PA | Medicare | $78.98 | ↓ -71% |
| United Healthcare | Unison Advantage Non Special Needs | $78.98 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicare | $81.23 | ↓ -70% |
| AmeriHealth Caritas | Medicare | $81.24 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $81.24 | ↓ -70% |
| United Healthcare | Unison Advantage Special Needs | $82.74 | ↓ -70% |
| UPMC Health Plan | Commercial | $92.52 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $123.50 | ↓ -55% |
| Aetna | EBR ASO | $136.80 | ↓ -50% |
| Cigna | Commercial | $136.80 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $169.77 | ↓ -38% |
| Aetna | EBR FI | $198.36 | ↓ -28% |
| Aetna | Neighborhood Network | $205.20 | ↓ -25% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $209.17 | ↓ -24% |
| Aetna | Home Depot Employer Group | $211.01 | ↓ -23% |
| Aetna | NBR ASO/FI | $215.46 | ↓ -21% |
| Cigna | New Business ASO | $215.46 | ↓ -21% |
| InterGroup | PPO | $222.30 | ↓ -19% |
| Coventry/First Health | Commercial | $239.40 | ↓ -13% |
| Health Coalition Partners | PPO | $246.24 | ↓ -10% |
| Private Health Care Systems | PPO | $273.60 | ↓ -0% |
| Humana | Commercial | $290.70 | ↑ +6% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Rituximab 10 mg/ml concentrate,intravenous at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $475.20 | $47.49 – $287.10 |
| UPMC Passavant-McCandless | Pittsburgh | $2,406.60 | $47.49 – $298.35 |
| UPMC Presbyterian | Pittsburgh | $433.20 | $47.49 – $612.00 |
| UPMC Somerset | Somerset | $55.80 | $31.31 – $75.22 |
| UPMC St. Margaret | Pittsburgh | $342.40 | $47.49 – $359.55 |
| UPMC Wellsboro | Wellsboro | $4,351.20 | $75.22 – $652.50 |
| UPMC Western Psychiatric | Pittsburgh | $432.00 | $64.71 – $612.00 |
| UPMC Williamsport | Williamsport | $580.00 | $75.22 – $652.50 |