Avelumab 20 mg/ml intravenous solution at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$112.20
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.
$187.00
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.
$30.86 with Prime Net vs $352.74 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $30.86 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $37.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $37.40 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $44.98 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $67.11 | ↓ -40% |
| Prime Net | ACO/Legacy Commercial | $76.67 | ↓ -32% |
| Aetna | ACO | $77.23 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $89.20 | ↓ -20% |
| Aetna | Commercial | $89.76 | ↓ -20% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $100.09 | ↓ -11% |
| Geisinger | Medicaid/CHIP | $100.09 | ↓ -11% |
| Highmark Wholecare (prev Gateway) | Medicaid | $102.09 | ↓ -9% |
| Aetna | Medicare | $104.39 | ↓ -7% |
| Cigna | Medicare | $105.09 | ↓ -6% |
| Geisinger | Medicare | $105.09 | ↓ -6% |
| United Healthcare | Medicare | $107.10 | ↓ -5% |
| UPMC Health Plan | Managed Medicaid | $110.10 | ↓ -2% |
| United Healthcare | Commercial | $115.19 | ↑ +3% |
| Capital Blue Cross | CHIP | $118.35 | ↑ +5% |
| Capital Blue Cross | Commercial | $118.35 | ↑ +5% |
| Keystone Health Plan | Commercial | $120.38 | ↑ +7% |
| Geisinger | Commercial | $122.45 | ↑ +9% |
| UPMC Health Plan | CHIP | $123.11 | ↑ +10% |
| Cigna | Commercial | $130.24 | ↑ +16% |
| Wellspan Population Health | Commercial | $130.90 | ↑ +17% |
| UPMC Health Plan | Commercial | $130.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $139.31 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $158.95 | ↑ +42% |
| Keystone Autism Services | ACAP | $160.14 | ↑ +43% |
| Highmark BCBS of PA | Medicaid | $331.54 | ↑ +195% |
| Highmark BCBS of PA | Commercial | $352.74 | ↑ +214% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Avelumab 20 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $199.80 | $55.19 – $266.40 |
| UPMC Bedford | Everett | $231.00 | $36.11 – $346.50 |
| UPMC Cole | Coudersport | $5,013.60 | $100.09 – $6,684.80 |
| UPMC East | Monroeville | $231.00 | $46.05 – $308.00 |
| UPMC Hamot | Erie | $249.60 | $55.19 – $108.10 |
| UPMC Northwest | Seneca | $231.00 | $63.19 – $108.10 |
| UPMC Horizon-Greenville | Greenville | $231.00 | $63.19 – $140.65 |
| UPMC Jameson | New Castle | $231.00 | $56.16 – $125.11 |