Injection, renflexis at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$228.80
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.
$286.00
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.
$9.74 with Aetna of PA vs $257.40 with Humana — 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 | $9.74 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $17.05 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $23.28 | ↓ -90% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $27.00 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $27.00 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $27.00 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $27.00 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $27.00 | ↓ -88% |
| Aetna | Medicare | $27.81 | ↓ -88% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $27.87 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $28.35 | ↓ -88% |
| United Healthcare | Medicare | $28.89 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $29.16 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $29.16 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $29.16 | ↓ -87% |
| Cigna | Medicare | $29.16 | ↓ -87% |
| United Healthcare Community Plan for Families | Unison Kids | $31.05 | ↓ -86% |
| UPMC Health Plan | Commercial | $33.21 | ↓ -85% |
| UPMC Health Plan | CHIP | $36.55 | ↓ -84% |
| United Healthcare | Compass Exchange | $78.78 | ↓ -66% |
| United Healthcare | All Business | $78.78 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $83.05 | ↓ -64% |
| Aetna | EBR ASO | $114.40 | ↓ -50% |
| Cigna | Commercial | $114.40 | ↓ -50% |
| Cigna | EBR | $114.40 | ↓ -50% |
| Aetna | EBR FI | $140.14 | ↓ -39% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $145.47 | ↓ -36% |
| Aetna | Neighborhood Network | $177.32 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $179.20 | ↓ -22% |
| Aetna | Home Depot Employer Group | $182.18 | ↓ -20% |
| Cigna | NBR ASO/FI | $185.90 | ↓ -19% |
| Aetna | NBR ASO/FI | $185.90 | ↓ -19% |
| InterGroup | PPO | $185.90 | ↓ -19% |
| Cigna | New Business ASO | $185.90 | ↓ -19% |
| Coventry/First Health | Commercial | $200.20 | ↓ -13% |
| Preferred Healthcare System | PPO | $228.80 | ↑ +0% |
| Health Coalition Partners | Intergroup | $257.40 | ↑ +13% |
| Private Health Care Systems | PPO | $257.40 | ↑ +13% |
| SelectCare | Commercial | $257.40 | ↑ +13% |
| Humana | Commercial | $257.40 | ↑ +13% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Injection, renflexis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $216.80 | $17.05 – $216.80 |
| UPMC Carlisle | Carlisle | $451.80 | $26.73 – $640.05 |
| UPMC Community Osteopathic | Harrisburg | $451.80 | $26.73 – $640.05 |
| UPMC East | Monroeville | $1,719.60 | $17.05 – $228.80 |
| UPMC Hamot | Erie | $240.00 | $17.05 – $52.46 |
| UPMC Northwest | Seneca | $228.80 | $17.05 – $29.16 |
| UPMC Hanover | Hanover | $451.80 | $26.73 – $43.20 |
| UPMC Horizon-Greenville | Greenville | $228.80 | $17.05 – $50.67 |