Albumin (human), 25%, 50ml at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$797.40
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.
$1,329.00
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.
$33.51 with UPMC Health Plan vs $600.30 with Humana — 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 | $33.51 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $53.08 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $53.08 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $53.08 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $53.08 | ↓ -93% |
| UPMC Health Plan | CHIP | $61.59 | ↓ -92% |
| UPMC Health Plan | Commercial | $65.28 | ↓ -92% |
| United Healthcare | Compass Exchange | $159.24 | ↓ -80% |
| United Healthcare | All Business | $159.24 | ↓ -80% |
| Aetna | Medicare | $166.75 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $193.70 | ↓ -76% |
| Aetna | EBR ASO | $266.80 | ↓ -67% |
| Cigna | EBR | $266.80 | ↓ -67% |
| Cigna | Commercial | $266.80 | ↓ -67% |
| Aetna | EBR FI | $326.83 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicare | $333.50 | ↓ -58% |
| Aetna | Neighborhood Network | $413.54 | ↓ -48% |
| Aetna | Home Depot Employer Group | $424.88 | ↓ -47% |
| Cigna | NBR ASO/FI | $433.55 | ↓ -46% |
| Aetna | NBR ASO/FI | $433.55 | ↓ -46% |
| Cigna | New Business ASO | $433.55 | ↓ -46% |
| InterGroup | PPO | $433.55 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $440.73 | ↓ -45% |
| Coventry/First Health | Commercial | $466.90 | ↓ -41% |
| Preferred Healthcare System | PPO | $533.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $542.93 | ↓ -32% |
| Health Coalition Partners | Intergroup | $600.30 | ↓ -25% |
| Private Health Care Systems | PPO | $600.30 | ↓ -25% |
| SelectCare | Commercial | $600.30 | ↓ -25% |
| Humana | Commercial | $600.30 | ↓ -25% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Albumin (human), 25%, 50ml at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $492.00 | $33.51 – $329.60 |
| UPMC Carlisle | Carlisle | $99.00 | $0.14 – $64.72 |
| UPMC Cole | Coudersport | $61.80 | $21.34 – $61.60 |
| UPMC Community Osteopathic | Harrisburg | $99.00 | $0.20 – $264.62 |
| UPMC East | Monroeville | $1,898.40 | $33.51 – $947.20 |
| UPMC Hamot | Erie | $1,591.80 | $33.51 – $144.51 |
| UPMC Northwest | Seneca | $952.80 | $33.51 – $412.48 |
| UPMC Hanover | Hanover | $99.00 | $53.08 – $372.75 |