Inj., benralizumab, 1 mg at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$12,255.60
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.
$20,426.00
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.
$59.38 with Aetna of PA vs $611.10 with SelectCare — 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 of PA | Medicare | $59.38 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $103.92 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $141.94 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $164.59 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $164.59 | ↓ -99% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $164.59 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $164.59 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $164.59 | ↓ -99% |
| Aetna | Medicare | $169.53 | ↓ -99% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $169.89 | ↓ -99% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $172.82 | ↓ -99% |
| United Healthcare | Medicare | $176.11 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $177.74 | ↓ -99% |
| Cigna | Medicare | $177.76 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $177.76 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $177.76 | ↓ -99% |
| United Healthcare Community Plan for Families | Unison Kids | $189.28 | ↓ -98% |
| UPMC Health Plan | CHIP | $196.69 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $197.18 | ↓ -98% |
| UPMC Health Plan | Commercial | $202.44 | ↓ -98% |
| Cigna | EBR | $271.60 | ↓ -98% |
| Aetna | EBR ASO | $271.60 | ↓ -98% |
| Cigna | Commercial | $271.60 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $305.83 | ↓ -98% |
| Aetna | EBR FI | $332.71 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $376.75 | ↓ -97% |
| United Healthcare | Compass Exchange | $387.03 | ↓ -97% |
| Aetna | Neighborhood Network | $420.98 | ↓ -97% |
| Aetna | Home Depot Employer Group | $432.52 | ↓ -96% |
| InterGroup | PPO | $441.35 | ↓ -96% |
| Aetna | NBR ASO/FI | $441.35 | ↓ -96% |
| Cigna | New Business ASO | $441.35 | ↓ -96% |
| Cigna | NBR ASO/FI | $441.35 | ↓ -96% |
| United Healthcare | All Business | $454.93 | ↓ -96% |
| Coventry/First Health | Commercial | $475.30 | ↓ -96% |
| Preferred Healthcare System | PPO | $543.20 | ↓ -96% |
| Private Health Care Systems | PPO | $611.10 | ↓ -95% |
| Health Coalition Partners | Intergroup | $611.10 | ↓ -95% |
| Humana | Commercial | $611.10 | ↓ -95% |
| SelectCare | Commercial | $611.10 | ↓ -95% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Inj., benralizumab, 1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $12,764.40 | $103.92 – $568.00 |
| UPMC Carlisle | Carlisle | $3,405.60 | $162.94 – $4,824.60 |
| UPMC Community Osteopathic | Harrisburg | $3,405.60 | $162.94 – $4,824.60 |
| UPMC East | Monroeville | $13,770.60 | $91.49 – $612.00 |
| UPMC Hamot | Erie | $14,607.00 | $103.92 – $177.76 |
| UPMC Hanover | Hanover | $3,405.60 | $162.94 – $263.34 |
| UPMC Jameson | New Castle | $577.60 | $103.92 – $205.74 |
| UPMC Lititz | Lititz | $3,405.60 | $162.94 – $263.34 |