Acetylcysteine non-comp unit at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$53.00
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.
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What you pay up front if you don't use insurance.
$66.25
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.
$0.54 with Health Partners Plans (Jefferson Health Plan) vs $62.17 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.54 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $5.46 | ↓ -90% |
| UPMC Health Plan | CHIP | $7.92 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $8.65 | ↓ -84% |
| UPMC Health Plan | Commercial | $10.65 | ↓ -80% |
| Aetna | Medicare | $13.38 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $15.54 | ↓ -71% |
| Aetna | EBR ASO | $21.40 | ↓ -60% |
| Cigna | Commercial | $21.40 | ↓ -60% |
| Cigna | EBR | $21.40 | ↓ -60% |
| Aetna | EBR FI | $26.21 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicare | $26.75 | ↓ -50% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $29.43 | ↓ -44% |
| Geisinger | Medicaid/CHIP | $29.43 | ↓ -44% |
| United Healthcare | Compass Exchange | $29.43 | ↓ -44% |
| Aetna | Neighborhood Network | $33.17 | ↓ -37% |
| Aetna | Home Depot Employer Group | $34.08 | ↓ -36% |
| InterGroup | PPO | $34.77 | ↓ -34% |
| Cigna | New Business ASO | $34.77 | ↓ -34% |
| Cigna | NBR ASO/FI | $34.77 | ↓ -34% |
| Aetna | NBR ASO/FI | $34.77 | ↓ -34% |
| United Healthcare | All Business | $34.77 | ↓ -34% |
| Coventry/First Health | Commercial | $37.45 | ↓ -29% |
| Preferred Healthcare System | PPO | $42.80 | ↓ -19% |
| Private Health Care Systems | PPO | $48.15 | ↓ -9% |
| Health Coalition Partners | Intergroup | $48.15 | ↓ -9% |
| Humana | Commercial | $48.15 | ↓ -9% |
| SelectCare | Commercial | $48.15 | ↓ -9% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $50.46 | ↓ -5% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $62.17 | ↑ +17% |
Visitor-reported prices
Comments
Acetylcysteine non-comp unit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $51.80 | $0.67 – $24.45 |
| UPMC Cole | Coudersport | $15.00 | $0.83 – $8.65 |
| UPMC East | Monroeville | $108.00 | $2.64 – $108.00 |
| UPMC Hamot | Erie | $264.00 | $0.67 – $17.28 |
| UPMC Northwest | Seneca | $107.20 | $0.71 – $47.23 |
| UPMC Horizon-Greenville | Greenville | $80.80 | $0.67 – $46.38 |
| UPMC Jameson | New Castle | $80.80 | $5.46 – $18.52 |
| UPMC McKeesport | Mckeesport | $199.20 | $0.74 – $18.37 |