Arformoterol non-comp unit at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$20.20
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.
$25.25
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.
$0.45 with UPMC Health Plan vs $33.34 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $0.45 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $0.71 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.71 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.71 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $0.71 | ↓ -96% |
| UPMC Health Plan | Commercial | $0.87 | ↓ -96% |
| United Healthcare | Compass Exchange | $2.43 | ↓ -88% |
| United Healthcare | All Business | $2.43 | ↓ -88% |
| UPMC Health Plan | CHIP | $2.69 | ↓ -87% |
| Aetna | Medicare | $6.25 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $7.26 | ↓ -64% |
| Aetna | EBR ASO | $10.00 | ↓ -50% |
| Cigna | EBR | $10.00 | ↓ -50% |
| Cigna | Commercial | $10.00 | ↓ -50% |
| Aetna | EBR FI | $12.25 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicare | $12.50 | ↓ -38% |
| Aetna | Neighborhood Network | $15.50 | ↓ -23% |
| Aetna | Home Depot Employer Group | $15.93 | ↓ -21% |
| Cigna | NBR ASO/FI | $16.25 | ↓ -20% |
| Aetna | NBR ASO/FI | $16.25 | ↓ -20% |
| Cigna | New Business ASO | $16.25 | ↓ -20% |
| InterGroup | PPO | $16.25 | ↓ -20% |
| Coventry/First Health | Commercial | $17.50 | ↓ -13% |
| Preferred Healthcare System | PPO | $20.00 | ↓ -1% |
| SelectCare | Commercial | $22.50 | ↑ +11% |
| Humana | Commercial | $22.50 | ↑ +11% |
| Health Coalition Partners | Intergroup | $22.50 | ↑ +11% |
| Private Health Care Systems | PPO | $22.50 | ↑ +11% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $27.06 | ↑ +34% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $33.34 | ↑ +65% |
Visitor-reported prices
Comments
Arformoterol non-comp unit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $25.00 | $0.45 – $24.80 |
| UPMC East | Monroeville | $28.60 | $0.45 – $28.00 |
| UPMC Hamot | Erie | $30.20 | $0.45 – $6.32 |
| UPMC Northwest | Seneca | $28.60 | $0.45 – $25.33 |
| UPMC Horizon-Greenville | Greenville | $27.20 | $0.45 – $24.87 |
| UPMC Jameson | New Castle | $27.20 | $0.45 – $9.93 |
| UPMC Magee | Pittsburgh | $24.00 | $0.45 – $9.85 |
| UPMC McKeesport | Mckeesport | $32.40 | $0.45 – $9.85 |