Dextrose 5 % IV bolus at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$76.20
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.
?
What you pay up front if you don't use insurance.
$95.25
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.97 with UPMC Health Plan vs $85.50 with Health Coalition Partners — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1.97 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $3.11 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3.11 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3.11 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3.11 | ↓ -96% |
| UPMC Health Plan | Commercial | $3.83 | ↓ -95% |
| UPMC Health Plan | CHIP | $4.48 | ↓ -94% |
| United Healthcare | All Business | $10.80 | ↓ -86% |
| United Healthcare | Compass Exchange | $10.80 | ↓ -86% |
| Aetna | Medicare | $23.75 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $27.59 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $36.91 | ↓ -52% |
| Cigna | EBR | $38.00 | ↓ -50% |
| Aetna | EBR ASO | $38.00 | ↓ -50% |
| Cigna | Commercial | $38.00 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $45.47 | ↓ -40% |
| Aetna | EBR FI | $46.55 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicare | $47.50 | ↓ -38% |
| Aetna | Neighborhood Network | $58.90 | ↓ -23% |
| Aetna | Home Depot Employer Group | $60.52 | ↓ -21% |
| InterGroup | PPO | $61.75 | ↓ -19% |
| Cigna | NBR ASO/FI | $61.75 | ↓ -19% |
| Aetna | NBR ASO/FI | $61.75 | ↓ -19% |
| Cigna | New Business ASO | $61.75 | ↓ -19% |
| Coventry/First Health | Commercial | $66.50 | ↓ -13% |
| Preferred Healthcare System | PPO | $76.00 | ↓ -0% |
| SelectCare | Commercial | $85.50 | ↑ +12% |
| Private Health Care Systems | PPO | $85.50 | ↑ +12% |
| Humana | Commercial | $85.50 | ↑ +12% |
| Health Coalition Partners | Intergroup | $85.50 | ↑ +12% |
Visitor-reported prices
Comments
Dextrose 5 % IV bolus at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $16.60 | $1.97 – $25.61 |
| UPMC Cole | Coudersport | $6.00 | $2.77 – $8.00 |
| UPMC East | Monroeville | $153.60 | $1.97 – $153.60 |
| UPMC Hamot | Erie | $96.00 | $1.97 – $10.51 |
| UPMC Northwest | Seneca | $76.40 | $1.97 – $34.54 |
| UPMC Horizon-Greenville | Greenville | $71.80 | $1.97 – $33.92 |
| UPMC Jameson | New Castle | $42.00 | $1.97 – $26.07 |
| UPMC Kane | Kane | $8.40 | $3.11 – $6.15 |