Inj mogamulizumab-kpkc, 1 mg at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$691.20
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.
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What you pay up front if you don't use insurance.
$864.00
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.
$89.66 with Aetna of PA vs $777.60 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 of PA | Medicare | $89.66 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $156.90 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $214.31 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $248.50 | ↓ -64% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $248.50 | ↓ -64% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $248.50 | ↓ -64% |
| Geisinger | Medicaid/CHIP | $248.50 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicaid | $248.50 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $250.91 | ↓ -64% |
| Aetna | Medicare | $255.96 | ↓ -63% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $256.50 | ↓ -63% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $260.93 | ↓ -62% |
| United Healthcare | Medicare | $265.89 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicare | $268.36 | ↓ -61% |
| AmeriHealth Caritas | Medicare | $268.38 | ↓ -61% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $268.38 | ↓ -61% |
| Cigna | Medicare | $268.38 | ↓ -61% |
| UPMC Health Plan | CHIP | $271.72 | ↓ -61% |
| United Healthcare Community Plan for Families | Unison Kids | $285.77 | ↓ -59% |
| UPMC Health Plan | Commercial | $305.65 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $335.36 | ↓ -51% |
| Aetna | EBR ASO | $345.60 | ↓ -50% |
| Cigna | EBR | $345.60 | ↓ -50% |
| Cigna | Commercial | $345.60 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $413.14 | ↓ -40% |
| Aetna | EBR FI | $423.36 | ↓ -39% |
| United Healthcare | Compass Exchange | $492.48 | ↓ -29% |
| Aetna | Neighborhood Network | $535.68 | ↓ -23% |
| Aetna | Home Depot Employer Group | $550.37 | ↓ -20% |
| Cigna | New Business ASO | $561.60 | ↓ -19% |
| InterGroup | PPO | $561.60 | ↓ -19% |
| Aetna | NBR ASO/FI | $561.60 | ↓ -19% |
| Cigna | NBR ASO/FI | $561.60 | ↓ -19% |
| United Healthcare | All Business | $578.88 | ↓ -16% |
| Coventry/First Health | Commercial | $604.80 | ↓ -13% |
| Preferred Healthcare System | PPO | $691.20 | ↑ +0% |
| Private Health Care Systems | PPO | $777.60 | ↑ +13% |
| SelectCare | Commercial | $777.60 | ↑ +13% |
| Humana | Commercial | $777.60 | ↑ +13% |
| Health Coalition Partners | Intergroup | $777.60 | ↑ +13% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Inj mogamulizumab-kpkc, 1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $647.20 | $120.93 – $637.60 |
| UPMC Carlisle | Carlisle | $540.60 | $123.44 – $765.85 |
| UPMC Cole | Coudersport | $11,674.80 | $248.50 – $15,566.40 |
| UPMC Community Osteopathic | Harrisburg | $540.60 | $180.20 – $765.85 |
| UPMC East | Monroeville | $691.20 | $103.33 – $691.20 |
| UPMC Hamot | Erie | $733.60 | $120.93 – $268.38 |
| UPMC Northwest | Seneca | $691.20 | $156.90 – $268.38 |
| UPMC Hanover | Hanover | $540.60 | $246.01 – $397.60 |