Alteplase 100 mg infusion from pyxis vial at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$194.40
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.
$243.00
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.
$34.08 with Aetna of PA vs $221.88 with Aetna — 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $34.08 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $59.63 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $66.50 | ↓ -66% |
| UPMC Health Plan | Managed Medicare | $81.45 | ↓ -58% |
| Aetna | EBR ASO | $91.60 | ↓ -53% |
| Cigna | EBR | $91.60 | ↓ -53% |
| Cigna | Commercial | $91.60 | ↓ -53% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $94.45 | ↓ -51% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $94.45 | ↓ -51% |
| Geisinger | Medicaid/CHIP | $94.45 | ↓ -51% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $94.45 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicaid | $94.45 | ↓ -51% |
| Aetna | Medicare | $97.28 | ↓ -50% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $97.49 | ↓ -50% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $99.17 | ↓ -49% |
| United Healthcare | Medicare | $101.06 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicare | $102.00 | ↓ -48% |
| AmeriHealth Caritas | Medicare | $102.01 | ↓ -48% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $102.01 | ↓ -48% |
| Cigna | Medicare | $102.01 | ↓ -48% |
| UPMC Health Plan | CHIP | $103.24 | ↓ -47% |
| United Healthcare Community Plan for Families | Unison Kids | $108.62 | ↓ -44% |
| Aetna | EBR FI | $112.21 | ↓ -42% |
| UPMC Health Plan | Commercial | $116.17 | ↓ -40% |
| United Healthcare | Compass Exchange | $130.53 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $134.69 | ↓ -31% |
| Aetna | Neighborhood Network | $141.98 | ↓ -27% |
| Aetna | Home Depot Employer Group | $145.87 | ↓ -25% |
| Aetna | NBR ASO/FI | $148.85 | ↓ -23% |
| Cigna | NBR ASO/FI | $148.85 | ↓ -23% |
| Cigna | New Business ASO | $148.85 | ↓ -23% |
| InterGroup | PPO | $148.85 | ↓ -23% |
| United Healthcare | All Business | $153.43 | ↓ -21% |
| Coventry/First Health | Commercial | $160.30 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $165.93 | ↓ -15% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $177.50 | ↓ -9% |
| Preferred Healthcare System | PPO | $183.20 | ↓ -6% |
| SelectCare | Commercial | $206.10 | ↑ +6% |
| Private Health Care Systems | PPO | $206.10 | ↑ +6% |
| Humana | Commercial | $206.10 | ↑ +6% |
| Health Coalition Partners | Intergroup | $206.10 | ↑ +6% |
| Aetna | Medicaid | $221.88 | ↑ +14% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Alteplase 100 mg infusion from pyxis vial at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,280.00 | $12.06 – $177.50 |
| UPMC Cole | Coudersport | $5,517.60 | $37.70 – $108.80 |
| UPMC Community Osteopathic | Harrisburg | $5,280.00 | $17.60 – $177.50 |
| UPMC Hanover | Hanover | $5,280.00 | $93.51 – $177.50 |
| UPMC Kane | Kane | $19,391.40 | $94.45 – $150.94 |
| UPMC Lititz | Lititz | $5,280.00 | $93.51 – $177.50 |
| UPMC Magee | Pittsburgh | $22,001.40 | $49.03 – $195.25 |
| UPMC Memorial | York | $5,280.00 | $39.59 – $177.50 |