Adenosine 3 mg/250 ml bag for osm at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$124.20
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.
$207.00
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.
$0.35 with UPMC Health Plan vs $30.60 with Private Health Care Systems — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $0.35 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $0.56 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.56 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.56 | ↓ -100% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $0.56 | ↓ -100% |
| UPMC Health Plan | Commercial | $0.68 | ↓ -99% |
| UPMC Health Plan | CHIP | $0.70 | ↓ -99% |
| United Healthcare | All Business | $0.96 | ↓ -99% |
| United Healthcare | Compass Exchange | $0.96 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $4.64 | ↓ -96% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $5.72 | ↓ -95% |
| Aetna | Medicare | $8.50 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $9.87 | ↓ -92% |
| Aetna | EBR ASO | $13.60 | ↓ -89% |
| Cigna | Commercial | $13.60 | ↓ -89% |
| Cigna | EBR | $13.60 | ↓ -89% |
| Aetna | EBR FI | $16.66 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $17.00 | ↓ -86% |
| Aetna | Neighborhood Network | $21.08 | ↓ -83% |
| Aetna | Home Depot Employer Group | $21.66 | ↓ -83% |
| Cigna | NBR ASO/FI | $22.10 | ↓ -82% |
| Aetna | NBR ASO/FI | $22.10 | ↓ -82% |
| Cigna | New Business ASO | $22.10 | ↓ -82% |
| InterGroup | PPO | $22.10 | ↓ -82% |
| Coventry/First Health | Commercial | $23.80 | ↓ -81% |
| Preferred Healthcare System | PPO | $27.20 | ↓ -78% |
| SelectCare | Commercial | $30.60 | ↓ -75% |
| Health Coalition Partners | Intergroup | $30.60 | ↓ -75% |
| Humana | Commercial | $30.60 | ↓ -75% |
| Private Health Care Systems | PPO | $30.60 | ↓ -75% |
Visitor-reported prices
Comments
Adenosine 3 mg/250 ml bag for osm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $685.80 | $0.35 – $14.40 |
| UPMC Cole | Coudersport | $51.00 | $0.56 – $68.00 |
| UPMC East | Monroeville | $240.00 | $0.32 – $52.80 |
| UPMC Hamot | Erie | $352.80 | $0.35 – $1.67 |
| UPMC Northwest | Seneca | $117.00 | $0.35 – $4.34 |
| UPMC Horizon-Greenville | Greenville | $1,175.40 | $0.32 – $4.26 |
| UPMC Jameson | New Castle | $165.00 | $0.35 – $1.70 |
| UPMC Kane | Kane | $13.20 | $0.53 – $2.26 |