Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$74.40
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.
$124.00
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.
$21.49 with UPMC Work Partners vs $450.10 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 Work Partners | Workers Comp | $21.49 | ↓ -71% |
| Aetna | EBR ASO | $29.60 | ↓ -60% |
| Cigna | Commercial | $29.60 | ↓ -60% |
| Cigna | EBR | $29.60 | ↓ -60% |
| Aetna | EBR FI | $36.26 | ↓ -51% |
| United Healthcare | Compass Exchange | $42.18 | ↓ -43% |
| Aetna | Neighborhood Network | $45.88 | ↓ -38% |
| Aetna | Home Depot Employer Group | $47.14 | ↓ -37% |
| InterGroup | PPO | $48.10 | ↓ -35% |
| Aetna | NBR ASO/FI | $48.10 | ↓ -35% |
| Cigna | New Business ASO | $48.10 | ↓ -35% |
| Cigna | NBR ASO/FI | $48.10 | ↓ -35% |
| United Healthcare | All Business | $49.58 | ↓ -33% |
| Coventry/First Health | Commercial | $51.80 | ↓ -30% |
| Preferred Healthcare System | PPO | $59.20 | ↓ -20% |
| Health Coalition Partners | Intergroup | $66.60 | ↓ -10% |
| Humana | Commercial | $66.60 | ↓ -10% |
| Private Health Care Systems | PPO | $66.60 | ↓ -10% |
| SelectCare | Commercial | $66.60 | ↓ -10% |
| Aetna of PA | Medicare | $85.37 | ↑ +15% |
| UPMC Health Plan | Managed Medicaid | $149.40 | ↑ +101% |
| UPMC Health Plan | Managed Medicare | $204.06 | ↑ +174% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $236.62 | ↑ +218% |
| Highmark Wholecare (prev Gateway) | Medicaid | $236.62 | ↑ +218% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $236.62 | ↑ +218% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $236.62 | ↑ +218% |
| Geisinger | Medicaid/CHIP | $236.62 | ↑ +218% |
| Aetna | Medicare | $243.72 | ↑ +228% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $244.24 | ↑ +228% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $248.45 | ↑ +234% |
| United Healthcare | Medicare | $253.18 | ↑ +240% |
| Highmark Wholecare (prev Gateway) | Medicare | $255.53 | ↑ +243% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $255.55 | ↑ +243% |
| Cigna | Medicare | $255.55 | ↑ +243% |
| AmeriHealth Caritas | Medicare | $255.55 | ↑ +243% |
| UPMC Health Plan | CHIP | $262.57 | ↑ +253% |
| United Healthcare Community Plan for Families | Unison Kids | $272.11 | ↑ +266% |
| UPMC Health Plan | Commercial | $291.04 | ↑ +291% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $365.37 | ↑ +391% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $450.10 | ↑ +505% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $37,978.20 | $236.62 – $260.28 |
| UPMC Presbyterian | Pittsburgh | $31,680.60 | $133.01 – $260.28 |
| UPMC Wellsboro | Wellsboro | $37,978.20 | $236.62 – $260.28 |