Folic acid 5 mg/ml injection solution at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$0.80
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.
$1.00
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.
$0.04 with Aetna vs $0.15 with Health Coalition Partners — 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 | $0.04 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $0.04 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $0.05 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $0.06 | ↓ -93% |
| UPMC Health Plan | CHIP | $0.06 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $0.06 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.06 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.06 | ↓ -93% |
| Aetna | EBR ASO | $0.07 | ↓ -91% |
| Cigna | Commercial | $0.07 | ↓ -91% |
| Cigna | EBR | $0.07 | ↓ -91% |
| Aetna | EBR FI | $0.08 | ↓ -90% |
| UPMC Health Plan | Commercial | $0.08 | ↓ -90% |
| United Healthcare | Compass Exchange | $0.09 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $0.09 | ↓ -89% |
| Aetna | Neighborhood Network | $0.11 | ↓ -86% |
| Cigna | New Business ASO | $0.11 | ↓ -86% |
| Cigna | NBR ASO/FI | $0.11 | ↓ -86% |
| InterGroup | PPO | $0.11 | ↓ -86% |
| United Healthcare | All Business | $0.11 | ↓ -86% |
| Aetna | NBR ASO/FI | $0.11 | ↓ -86% |
| Aetna | Home Depot Employer Group | $0.11 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $0.12 | ↓ -85% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $0.12 | ↓ -85% |
| Coventry/First Health | Commercial | $0.12 | ↓ -85% |
| Preferred Healthcare System | PPO | $0.14 | ↓ -83% |
| Humana | Commercial | $0.15 | ↓ -81% |
| SelectCare | Commercial | $0.15 | ↓ -81% |
| Private Health Care Systems | PPO | $0.15 | ↓ -81% |
| Health Coalition Partners | Intergroup | $0.15 | ↓ -81% |
Visitor-reported prices
Comments
Folic acid 5 mg/ml injection solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3.00 | $0.06 – $2.55 |
| UPMC Community Osteopathic | Harrisburg | $3.00 | $0.06 – $2.55 |
| UPMC Hanover | Hanover | $3.00 | $0.06 – $0.07 |
| UPMC Lititz | Lititz | $3.00 | $0.06 – $0.07 |
| UPMC Memorial | York | $3.00 | $0.06 – $0.08 |
| UPMC Somerset | Somerset | $3.00 | $0.06 – $0.06 |
| WellSpan Chambersburg Hospital | Chambersburg | $58.40 | $0.07 – $105.00 |
| WellSpan Ephrata Community Hospital | Ephrata | $177.00 | $30.00 – $105.00 |