Cetuximab 100 mg/50 ml intravenous solution at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$9.00
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.
?
What you pay up front if you don't use insurance.
$15.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2.48 with Prime Net vs $276.19 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $2.48 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $3.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $3.00 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $5.38 | ↓ -40% |
| Prime Net | ACO/Legacy Commercial | $6.15 | ↓ -32% |
| Aetna | ACO | $6.20 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $7.16 | ↓ -20% |
| Aetna | Commercial | $7.20 | ↓ -20% |
| United Healthcare | Commercial | $9.24 | ↑ +3% |
| Geisinger | Commercial | $9.82 | ↑ +9% |
| Wellspan Population Health | Commercial | $10.50 | ↑ +17% |
| UPMC Health Plan | Commercial | $10.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $11.18 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $12.75 | ↑ +42% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $78.37 | ↑ +771% |
| Geisinger | Medicaid/CHIP | $78.37 | ↑ +771% |
| Highmark Wholecare (prev Gateway) | Medicaid | $79.94 | ↑ +788% |
| Aetna | Medicare | $81.74 | ↑ +808% |
| Cigna | Medicare | $82.29 | ↑ +814% |
| Geisinger | Medicare | $82.29 | ↑ +814% |
| Highmark BCBS of PA | Medicare | $82.90 | ↑ +821% |
| United Healthcare | Medicare | $83.86 | ↑ +832% |
| UPMC Health Plan | Managed Medicaid | $86.21 | ↑ +858% |
| Capital Blue Cross | Commercial | $92.67 | ↑ +930% |
| Capital Blue Cross | CHIP | $92.67 | ↑ +930% |
| Keystone Health Plan | Commercial | $95.73 | ↑ +964% |
| UPMC Health Plan | CHIP | $96.39 | ↑ +971% |
| Cigna | Commercial | $103.95 | ↑ +1055% |
| Keystone Autism Services | ACAP | $125.39 | ↑ +1293% |
| Highmark BCBS of PA | Medicaid | $259.59 | ↑ +2784% |
| Highmark BCBS of PA | Commercial | $276.19 | ↑ +2969% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Cetuximab 100 mg/50 ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $183.60 | $49.48 – $244.80 |
| UPMC Cole | Coudersport | $4,044.00 | $78.37 – $2,696.00 |
| UPMC Hamot | Erie | $5,800.20 | $49.48 – $91.67 |
| UPMC Northwest | Seneca | $210.60 | $49.48 – $84.64 |
| UPMC Horizon-Greenville | Greenville | $406.80 | $49.48 – $147.06 |
| UPMC Magee | Pittsburgh | $3,594.00 | $49.48 – $102.68 |
| UPMC McKeesport | Mckeesport | $745.20 | $49.48 – $102.68 |
| UPMC Mercy | Pittsburgh | $280.20 | $49.48 – $101.71 |