Ipilimumab 5 mg/ml intravenous solution (wrapper) at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$511.80
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.
$853.00
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.
$172.48 with Highmark BCBS of PA vs $672.22 with UPMC Health Plan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare Advantage | $172.48 | ↓ -66% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $181.65 | ↓ -65% |
| AmeriHealth Caritas | Medicare | $183.48 | ↓ -64% |
| United Healthcare | Medicare | $183.48 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicaid | $183.48 | ↓ -64% |
| UPMC Health Plan | Managed Medicare | $183.48 | ↓ -64% |
| Geisinger | Medicaid | $183.48 | ↓ -64% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $183.48 | ↓ -64% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $187.15 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicare | $198.14 | ↓ -61% |
| UPMC Health Plan | CHIP | $200.07 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $272.12 | ↓ -47% |
| UPMC Work Partners | Workers Comp | $287.21 | ↓ -44% |
| Geisinger | Commercial | $335.91 | ↓ -34% |
| Aetna of PA | TPA/Carrier | $341.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $344.43 | ↓ -33% |
| Multiplan | PPO (Includes PHCS as a Payer) | $426.50 | ↓ -17% |
| Galaxy Health Plan | Commercial | $554.45 | ↑ +8% |
| Humana | Commercial | $639.75 | ↑ +25% |
| UPMC Health Plan | Commercial | $672.22 | ↑ +31% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | 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 Altoona | Altoona | $20,215.80 | $115.85 – $539.20 |
| UPMC Cole | Coudersport | $88,416.60 | $183.48 – $29,472.00 |
| UPMC Magee | Pittsburgh | $17,385.60 | $115.85 – $198.16 |
| UPMC Muncy | Muncy | $33,224.40 | $183.48 – $201.83 |
| UPMC Wellsboro | Wellsboro | $33,224.40 | $183.48 – $201.83 |
| Uniontown Hospital | Uniontown | $35,508.72 | $190.43 – $443.70 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $124.37 – $385.17 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $154.42 – $385.17 |