Inj aval alfa-nqpt 4mg at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$157.20
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.
$262.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$29.19 with Aetna of PA vs $235.80 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $29.19 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $51.09 | ↓ -68% |
| UPMC Health Plan | Managed Medicare | $69.78 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $76.08 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicaid | $80.91 | ↓ -49% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $80.91 | ↓ -49% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $80.91 | ↓ -49% |
| Geisinger | Medicaid/CHIP | $80.91 | ↓ -49% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $80.91 | ↓ -49% |
| Aetna | Medicare | $83.34 | ↓ -47% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $83.52 | ↓ -47% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $84.96 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $86.44 | ↓ -45% |
| United Healthcare | Medicare | $86.57 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicare | $87.37 | ↓ -44% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $87.38 | ↓ -44% |
| Cigna | Medicare | $87.38 | ↓ -44% |
| AmeriHealth Caritas | Medicare | $87.38 | ↓ -44% |
| UPMC Health Plan | CHIP | $88.21 | ↓ -44% |
| United Healthcare Community Plan for Families | Unison Kids | $93.05 | ↓ -41% |
| UPMC Health Plan | Commercial | $99.52 | ↓ -37% |
| Aetna | EBR ASO | $104.80 | ↓ -33% |
| Cigna | EBR | $104.80 | ↓ -33% |
| Cigna | Commercial | $104.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $106.49 | ↓ -32% |
| Aetna | EBR FI | $128.38 | ↓ -18% |
| United Healthcare | Compass Exchange | $149.34 | ↓ -5% |
| Aetna | Neighborhood Network | $162.44 | ↑ +3% |
| Aetna | Home Depot Employer Group | $166.89 | ↑ +6% |
| Cigna | New Business ASO | $170.30 | ↑ +8% |
| InterGroup | PPO | $170.30 | ↑ +8% |
| Aetna | NBR ASO/FI | $170.30 | ↑ +8% |
| Cigna | NBR ASO/FI | $170.30 | ↑ +8% |
| United Healthcare | All Business | $175.54 | ↑ +12% |
| Coventry/First Health | Commercial | $183.40 | ↑ +17% |
| Preferred Healthcare System | PPO | $209.60 | ↑ +33% |
| Private Health Care Systems | PPO | $235.80 | ↑ +50% |
| SelectCare | Commercial | $235.80 | ↑ +50% |
| Humana | Commercial | $235.80 | ↑ +50% |
| Health Coalition Partners | Intergroup | $235.80 | ↑ +50% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj aval alfa-nqpt 4mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,812.00 | $31.17 – $201.60 |
| UPMC Hamot | Erie | $5,329.60 | $31.17 – $87.38 |
| UPMC Magee | Pittsburgh | $5,248.20 | $31.47 – $87.38 |
| UPMC Muncy | Muncy | $5,052.80 | $80.91 – $89.00 |
| UPMC Passavant-McCandless | Pittsburgh | $5,248.20 | $31.47 – $89.00 |
| UPMC Presbyterian | Pittsburgh | $5,248.20 | $31.47 – $89.00 |
| UPMC Wellsboro | Wellsboro | $5,052.80 | $80.91 – $89.00 |
| UPMC Western Psychiatric | Pittsburgh | $5,248.20 | $30.84 – $89.00 |