Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$13.80
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.
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What you pay up front if you don't use insurance.
$17.25
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.
$4.31 with Aetna vs $15.53 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 |
|---|---|---|---|
| Aetna | Medicare | $4.31 | ↓ -69% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $4.79 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $5.01 | ↓ -64% |
| UPMC Health Plan | CHIP | $6.04 | ↓ -56% |
| Cigna | EBR | $6.90 | ↓ -50% |
| Aetna | EBR ASO | $6.90 | ↓ -50% |
| Cigna | Commercial | $6.90 | ↓ -50% |
| Aetna | EBR FI | $8.45 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicare | $8.62 | ↓ -38% |
| United Healthcare | Compass Exchange | $9.49 | ↓ -31% |
| Geisinger | Medicaid/CHIP | $9.49 | ↓ -31% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $9.49 | ↓ -31% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $9.95 | ↓ -28% |
| Aetna | Neighborhood Network | $10.70 | ↓ -22% |
| Aetna | Home Depot Employer Group | $10.99 | ↓ -20% |
| Cigna | NBR ASO/FI | $11.21 | ↓ -19% |
| United Healthcare | All Business | $11.21 | ↓ -19% |
| Aetna | NBR ASO/FI | $11.21 | ↓ -19% |
| Cigna | New Business ASO | $11.21 | ↓ -19% |
| InterGroup | PPO | $11.21 | ↓ -19% |
| Coventry/First Health | Commercial | $12.07 | ↓ -13% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $12.26 | ↓ -11% |
| UPMC Health Plan | Commercial | $12.28 | ↓ -11% |
| Preferred Healthcare System | PPO | $13.80 | ↑ +0% |
| Health Coalition Partners | Intergroup | $15.53 | ↑ +13% |
| SelectCare | Commercial | $15.53 | ↑ +13% |
| Private Health Care Systems | PPO | $15.53 | ↑ +13% |
| Humana | Commercial | $15.53 | ↑ +13% |
Visitor-reported prices
Comments
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $18.00 | $3.59 – $21.42 |
| UPMC East | Monroeville | $18.40 | $1.67 – $11.20 |
| UPMC Hamot | Erie | $22.20 | $3.59 – $19.39 |
| UPMC Northwest | Seneca | $15.40 | $5.03 – $9.31 |
| UPMC Horizon-Greenville | Greenville | $13.80 | $4.79 – $9.14 |
| UPMC Jameson | New Castle | $13.80 | $3.65 – $4.00 |
| UPMC Magee | Pittsburgh | $20.25 | $3.62 – $5.27 |
| UPMC McKeesport | Mckeesport | $18.40 | $3.62 – $5.27 |