Rasburicase 1.5 mg intravenous solution at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$644.40
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.
$1,074.00
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.
$361.62 with UPMC Work Partners vs $1,430.30 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $361.62 | ↓ -44% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $373.74 | ↓ -42% |
| AmeriHealth Caritas | Medicare | $377.52 | ↓ -41% |
| Geisinger | Medicaid | $377.52 | ↓ -41% |
| UPMC Health Plan | Managed Medicare | $377.52 | ↓ -41% |
| United Healthcare | Medicare | $377.52 | ↓ -41% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $377.52 | ↓ -41% |
| Highmark Wholecare (prev Gateway) | Medicaid | $377.52 | ↓ -41% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $385.07 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicare | $407.68 | ↓ -37% |
| Geisinger | Commercial | $422.94 | ↓ -34% |
| UPMC Health Plan | CHIP | $426.17 | ↓ -34% |
| Aetna of PA | TPA/Carrier | $429.60 | ↓ -33% |
| Multiplan | PPO (Includes PHCS as a Payer) | $537.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $559.90 | ↓ -13% |
| Highmark BCBS of PA | Medicare Advantage | $651.14 | ↑ +1% |
| Galaxy Health Plan | Commercial | $698.10 | ↑ +8% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $708.68 | ↑ +10% |
| Humana | Commercial | $805.50 | ↑ +25% |
| UPMC Health Plan | Commercial | $1,430.30 | ↑ +122% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Rasburicase 1.5 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,301.60 | $238.37 – $1,022.40 |
| UPMC Carlisle | Carlisle | $644.40 | $147.14 – $912.90 |
| UPMC Community Osteopathic | Harrisburg | $644.40 | $214.80 – $912.90 |
| UPMC East | Monroeville | $8,840.40 | $238.37 – $3,928.00 |
| UPMC Hamot | Erie | $11,323.20 | $238.37 – $408.32 |
| UPMC Northwest | Seneca | $11,391.60 | $238.37 – $407.72 |
| UPMC Hanover | Hanover | $644.40 | $373.74 – $604.03 |
| UPMC Horizon-Greenville | Greenville | $1,901.40 | $238.37 – $708.42 |