healthcosts.net
Rituximab-pvvr 10 mg/ml intravenous solution at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$7,463.40
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.
$12,439.00
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.
$27.84 with PA Health & Wellness vs $224.10 with Three Rivers Provider Network — 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 |
|---|---|---|---|
| PA Health & Wellness | PA Medicaid HMO | $27.84 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $27.84 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $27.84 | ↓ -100% |
| United Healthcare Community Plan for Families | PA Medicaid | $27.85 | ↓ -100% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $28.12 | ↓ -100% |
| UPMC Health Plan | Managed Medicare | $28.41 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $28.64 | ↓ -100% |
| AmeriHealth Caritas | Medicare | $28.69 | ↓ -100% |
| Aetna | Medicare | $28.69 | ↓ -100% |
| United Healthcare | Medicare | $29.80 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $30.08 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $30.63 | ↓ -100% |
| UPMC Health Plan | CHIP | $30.63 | ↓ -100% |
| UPMC Work Partners | Workers Comp | $67.53 | ↓ -99% |
| Multiplan | Worker's Compensation | $74.60 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $99.08 | ↓ -99% |
| Aetna | PEBTF Custom Network | $100.97 | ↓ -99% |
| UPMC Health Plan | Commercial | $108.56 | ↓ -99% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $116.68 | ↓ -98% |
| Aetna | Commercial | $118.77 | ↓ -98% |
| Coventry/First Health | Commercial | $124.75 | ↓ -98% |
| Wirerope Works | Commercial | $138.44 | ↓ -98% |
| Aetna | First Health | $164.34 | ↓ -98% |
| Geisinger | Commercial | $166.83 | ↓ -98% |
| Coventry/First Health | FH-Medical Rental | $167.58 | ↓ -98% |
| United Healthcare | Commercial | $170.32 | ↓ -98% |
| Cigna | Commercial | $170.56 | ↓ -98% |
| Multiplan | Auto | $194.22 | ↓ -97% |
| Multiplan | PPO (Includes PHCS as a Payer) | $194.22 | ↓ -97% |
| America's Choice | PPO | $199.20 | ↓ -97% |
| InterGroup | PPO | $199.20 | ↓ -97% |
| Three Rivers Provider Network | All | $224.10 | ↓ -97% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Rituximab-pvvr 10 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $7,826.40 | $17.58 – $234.90 |
| UPMC Northwest | Seneca | $7,826.40 | $17.58 – $209.10 |
| UPMC Passavant-McCandless | Pittsburgh | $7,826.40 | $17.58 – $221.85 |
| UPMC Presbyterian | Pittsburgh | $10,438.20 | $17.58 – $297.50 |
| UPMC St. Margaret | Pittsburgh | $7,826.40 | $17.58 – $221.85 |