Azithromycin dihydrate, oral at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$334.40
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.
$418.00
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.
$0.22 with Health Partners Plans (Jefferson Health Plan) vs $134.56 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.22 | ↓ -100% |
| Aetna | Medicaid | $0.27 | ↓ -100% |
| Aetna | Medicare | $36.00 | ↓ -89% |
| United Healthcare | All Business | $37.86 | ↓ -89% |
| United Healthcare | Compass Exchange | $37.86 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $41.82 | ↓ -87% |
| Cigna | EBR | $57.60 | ↓ -83% |
| Cigna | Commercial | $57.60 | ↓ -83% |
| Aetna | EBR ASO | $57.60 | ↓ -83% |
| Aetna | EBR FI | $70.56 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $72.00 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $79.20 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $79.20 | ↓ -76% |
| UPMC Health Plan | CHIP | $87.86 | ↓ -74% |
| Aetna | Neighborhood Network | $89.28 | ↓ -73% |
| Aetna | Home Depot Employer Group | $91.73 | ↓ -73% |
| Cigna | NBR ASO/FI | $93.60 | ↓ -72% |
| Aetna | NBR ASO/FI | $93.60 | ↓ -72% |
| Cigna | New Business ASO | $93.60 | ↓ -72% |
| InterGroup | PPO | $93.60 | ↓ -72% |
| Coventry/First Health | Commercial | $100.80 | ↓ -70% |
| UPMC Health Plan | Commercial | $106.44 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $109.23 | ↓ -67% |
| Preferred Healthcare System | PPO | $115.20 | ↓ -66% |
| SelectCare | Commercial | $129.60 | ↓ -61% |
| Health Coalition Partners | Intergroup | $129.60 | ↓ -61% |
| Private Health Care Systems | PPO | $129.60 | ↓ -61% |
| Humana | Commercial | $129.60 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $134.56 | ↓ -60% |
Visitor-reported prices
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Azithromycin dihydrate, oral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $76.40 | $5.58 – $87.86 |
| UPMC East | Monroeville | $235.20 | $12.62 – $128.80 |
| UPMC Hamot | Erie | $150.40 | $0.22 – $34.77 |
| UPMC Northwest | Seneca | $225.60 | $102.23 – $106.32 |
| UPMC Horizon-Greenville | Greenville | $150.40 | $0.22 – $100.38 |
| UPMC Jameson | New Castle | $101.60 | $8.62 – $87.86 |
| UPMC Kane | Kane | $85.20 | $20.82 – $64.70 |
| UPMC Magee | Pittsburgh | $202.80 | $0.24 – $87.86 |