Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$337.20
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.
$562.00
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.
$26.65 with Highmark BCBS of PA vs $476.00 with Multiplan — 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 | $26.65 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $36.69 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $36.69 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $37.43 | ↓ -89% |
| Aetna | Medicare | $38.27 | ↓ -89% |
| Cigna | Medicare | $38.52 | ↓ -89% |
| Geisinger | Medicare | $38.52 | ↓ -89% |
| United Healthcare | Medicare | $39.26 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $40.36 | ↓ -88% |
| Capital Blue Cross | Commercial | $43.39 | ↓ -87% |
| Capital Blue Cross | CHIP | $43.39 | ↓ -87% |
| UPMC Health Plan | CHIP | $45.13 | ↓ -87% |
| Keystone Health Plan | Commercial | $45.41 | ↓ -87% |
| Cigna | Commercial | $52.75 | ↓ -84% |
| Keystone Autism Services | ACAP | $58.70 | ↓ -83% |
| Prime Net | Managed Medicare | $92.40 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $112.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $112.00 | ↓ -67% |
| Highmark BCBS of PA | Medicaid | $121.53 | ↓ -64% |
| Highmark BCBS of PA | Commercial | $129.30 | ↓ -62% |
| UPMC Work Partners | Workers Comp | $200.98 | ↓ -40% |
| Prime Net | ACO/Legacy Commercial | $229.60 | ↓ -32% |
| Aetna | ACO | $231.28 | ↓ -31% |
| United Healthcare | Commercial | $262.72 | ↓ -22% |
| Prime Net | GateKeeper/NonGateKeeper | $267.12 | ↓ -21% |
| Aetna | Commercial | $268.80 | ↓ -20% |
| Geisinger | Commercial | $366.69 | ↑ +9% |
| Wellspan Population Health | Commercial | $392.00 | ↑ +16% |
| UPMC Health Plan | Commercial | $392.00 | ↑ +16% |
| Prime Net | FH-Medical Rental | $417.20 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $476.00 | ↑ +41% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $16,375.80 | $36.69 – $21,834.40 |
| WellSpan Gettysburg Hospital | Gettysburg | $14,784.20 | $43.27 – $18,389.70 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $23.88 – $77.62 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $29.64 – $77.62 |