Injection, siltuximab at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$467.40
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.
$779.00
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.
$59.83 with Aetna of PA vs $701.10 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 | $59.83 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $104.71 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $143.01 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $165.83 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $165.83 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicaid | $165.83 | ↓ -65% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $165.83 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $165.83 | ↓ -65% |
| Aetna | Medicare | $170.80 | ↓ -63% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $171.17 | ↓ -63% |
| UPMC Health Plan | CHIP | $172.83 | ↓ -63% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $174.12 | ↓ -63% |
| United Healthcare | Medicare | $177.44 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicare | $179.08 | ↓ -62% |
| Cigna | Medicare | $179.10 | ↓ -62% |
| AmeriHealth Caritas | Medicare | $179.10 | ↓ -62% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $179.10 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $189.54 | ↓ -59% |
| United Healthcare Community Plan for Families | Unison Kids | $190.70 | ↓ -59% |
| UPMC Health Plan | Commercial | $203.97 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $226.22 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $233.49 | ↓ -50% |
| Aetna | EBR ASO | $311.60 | ↓ -33% |
| Cigna | EBR | $311.60 | ↓ -33% |
| Cigna | Commercial | $311.60 | ↓ -33% |
| Aetna | EBR FI | $381.71 | ↓ -18% |
| United Healthcare | Compass Exchange | $444.03 | ↓ -5% |
| United Healthcare | All Business | $467.91 | ↑ +0% |
| Aetna | Neighborhood Network | $482.98 | ↑ +3% |
| Aetna | Home Depot Employer Group | $496.22 | ↑ +6% |
| InterGroup | PPO | $506.35 | ↑ +8% |
| Aetna | NBR ASO/FI | $506.35 | ↑ +8% |
| Cigna | NBR ASO/FI | $506.35 | ↑ +8% |
| Cigna | New Business ASO | $506.35 | ↑ +8% |
| Coventry/First Health | Commercial | $545.30 | ↑ +17% |
| Preferred Healthcare System | PPO | $623.20 | ↑ +33% |
| Private Health Care Systems | PPO | $701.10 | ↑ +50% |
| SelectCare | Commercial | $701.10 | ↑ +50% |
| Humana | Commercial | $701.10 | ↑ +50% |
| Health Coalition Partners | Intergroup | $701.10 | ↑ +50% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection, siltuximab at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,603.00 | $164.17 – $1,275.85 |
| UPMC Community Osteopathic | Harrisburg | $3,603.00 | $113.80 – $1,275.85 |
| UPMC Hanover | Hanover | $3,603.00 | $164.17 – $265.33 |
| UPMC Lititz | Lititz | $3,603.00 | $164.17 – $265.33 |
| UPMC Magee | Pittsburgh | $543.60 | $69.00 – $179.10 |
| UPMC McKeesport | Mckeesport | $627.60 | $69.00 – $182.41 |
| UPMC Memorial | York | $3,603.00 | $55.71 – $265.33 |
| UPMC Passavant-McCandless | Pittsburgh | $471.00 | $69.00 – $182.41 |