Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$646.80
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.
$1,078.00
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.
$114.10 with Aetna of PA vs $994.62 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $114.10 | ↓ -82% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $131.04 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $137.28 | ↓ -79% |
| United Healthcare Community Plan for Families | Unison Kids | $143.52 | ↓ -78% |
| Aetna | Medicaid | $156.00 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $173.46 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $185.08 | ↓ -71% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $188.20 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $194.83 | ↓ -70% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $212.68 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $262.85 | ↓ -59% |
| UPMC Health Plan | Managed Medicare | $272.72 | ↓ -58% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $316.23 | ↓ -51% |
| Aetna | Medicare | $325.72 | ↓ -50% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $326.41 | ↓ -50% |
| United Healthcare | Medicare | $338.37 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicare | $341.50 | ↓ -47% |
| AmeriHealth Caritas | Medicare | $341.53 | ↓ -47% |
| Cigna | Medicare | $341.53 | ↓ -47% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $341.53 | ↓ -47% |
| UPMC Health Plan | CHIP | $392.11 | ↓ -39% |
| Cigna | EBR | $431.20 | ↓ -33% |
| Cigna | Commercial | $431.20 | ↓ -33% |
| Aetna | EBR ASO | $431.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $475.00 | ↓ -27% |
| Aetna | EBR FI | $528.22 | ↓ -18% |
| United Healthcare | Compass Exchange | $592.90 | ↓ -8% |
| Aetna | Neighborhood Network | $668.36 | ↑ +3% |
| Aetna | Home Depot Employer Group | $686.69 | ↑ +6% |
| Aetna | NBR ASO/FI | $700.70 | ↑ +8% |
| United Healthcare | All Business | $700.70 | ↑ +8% |
| InterGroup | PPO | $700.70 | ↑ +8% |
| Cigna | New Business ASO | $700.70 | ↑ +8% |
| Cigna | NBR ASO/FI | $700.70 | ↑ +8% |
| Coventry/First Health | Commercial | $754.60 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $807.38 | ↑ +25% |
| Preferred Healthcare System | PPO | $862.40 | ↑ +33% |
| SelectCare | Commercial | $970.20 | ↑ +50% |
| Private Health Care Systems | PPO | $970.20 | ↑ +50% |
| Health Coalition Partners | Intergroup | $970.20 | ↑ +50% |
| Humana | Commercial | $970.20 | ↑ +50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $994.62 | ↑ +54% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $402.00 | $124.80 – $536.00 |
| UPMC Carlisle | Carlisle | $608.40 | $138.92 – $861.90 |
| UPMC Cole | Coudersport | $848.40 | $131.04 – $1,131.20 |
| UPMC Community Osteopathic | Harrisburg | $608.40 | $158.50 – $861.90 |
| UPMC East | Monroeville | $1,632.60 | $137.28 – $2,176.80 |
| UPMC Hamot | Erie | $1,187.40 | $137.28 – $394.17 |
| UPMC Northwest | Seneca | $912.00 | $137.28 – $332.04 |
| UPMC Hanover | Hanover | $608.40 | $158.50 – $506.98 |