Ceftriaxone 1 gram solution for injection at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$128.00
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.
$160.00
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.
$0.27 with UPMC Health Plan vs $150.12 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 | $0.27 | ↓ -100% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $0.43 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.43 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.43 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $0.43 | ↓ -100% |
| UPMC Health Plan | Commercial | $0.53 | ↓ -100% |
| UPMC Health Plan | CHIP | $0.57 | ↓ -100% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1.12 | ↓ -99% |
| United Healthcare | All Business | $1.35 | ↓ -99% |
| United Healthcare | Compass Exchange | $1.35 | ↓ -99% |
| Aetna | Medicaid | $1.41 | ↓ -99% |
| Aetna | Medicare | $31.50 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $36.59 | ↓ -71% |
| Aetna | EBR ASO | $50.40 | ↓ -61% |
| Cigna | EBR | $50.40 | ↓ -61% |
| Cigna | Commercial | $50.40 | ↓ -61% |
| Aetna | EBR FI | $61.74 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $63.00 | ↓ -51% |
| Aetna | Neighborhood Network | $78.12 | ↓ -39% |
| Aetna | Home Depot Employer Group | $80.26 | ↓ -37% |
| Cigna | NBR ASO/FI | $81.90 | ↓ -36% |
| Aetna | NBR ASO/FI | $81.90 | ↓ -36% |
| Cigna | New Business ASO | $81.90 | ↓ -36% |
| InterGroup | PPO | $81.90 | ↓ -36% |
| Coventry/First Health | Commercial | $88.20 | ↓ -31% |
| Preferred Healthcare System | PPO | $100.80 | ↓ -21% |
| SelectCare | Commercial | $113.40 | ↓ -11% |
| Humana | Commercial | $113.40 | ↓ -11% |
| Health Coalition Partners | Intergroup | $113.40 | ↓ -11% |
| Private Health Care Systems | PPO | $113.40 | ↓ -11% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $121.86 | ↓ -5% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $150.12 | ↑ +17% |
Visitor-reported prices
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Ceftriaxone 1 gram solution for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $124.00 | $0.27 – $68.00 |
| UPMC Carlisle | Carlisle | $37.20 | $0.14 – $1.25 |
| UPMC Cole | Coudersport | $98.40 | $0.43 – $3.20 |
| UPMC Community Osteopathic | Harrisburg | $37.20 | $0.20 – $73.17 |
| UPMC East | Monroeville | $264.80 | $0.27 – $264.00 |
| UPMC Hamot | Erie | $117.60 | $0.27 – $1.52 |
| UPMC Northwest | Seneca | $177.60 | $0.27 – $114.05 |
| UPMC Hanover | Hanover | $37.20 | $0.43 – $1.25 |