Irinotecan 20 mg/ml intravenous solution (wrapper) at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$1,143.20
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.
$1,429.00
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.
$1.11 with UPMC Health Plan vs $496.83 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $1.11 | ↓ -100% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1.75 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1.75 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1.75 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $1.75 | ↓ -100% |
| UPMC Health Plan | Commercial | $2.15 | ↓ -100% |
| UPMC Health Plan | CHIP | $2.26 | ↓ -100% |
| United Healthcare | Compass Exchange | $5.91 | ↓ -99% |
| United Healthcare | All Business | $5.91 | ↓ -99% |
| Aetna | Medicare | $117.50 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $136.49 | ↓ -88% |
| Aetna | EBR ASO | $188.00 | ↓ -84% |
| Cigna | EBR | $188.00 | ↓ -84% |
| Cigna | Commercial | $188.00 | ↓ -84% |
| Aetna | EBR FI | $230.30 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $235.00 | ↓ -79% |
| Aetna | Neighborhood Network | $291.40 | ↓ -75% |
| Aetna | Home Depot Employer Group | $299.39 | ↓ -74% |
| Cigna | NBR ASO/FI | $305.50 | ↓ -73% |
| Aetna | NBR ASO/FI | $305.50 | ↓ -73% |
| Cigna | New Business ASO | $305.50 | ↓ -73% |
| InterGroup | PPO | $305.50 | ↓ -73% |
| Coventry/First Health | Commercial | $329.00 | ↓ -71% |
| Preferred Healthcare System | PPO | $376.00 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $403.30 | ↓ -65% |
| SelectCare | Commercial | $423.00 | ↓ -63% |
| Health Coalition Partners | Intergroup | $423.00 | ↓ -63% |
| Humana | Commercial | $423.00 | ↓ -63% |
| Private Health Care Systems | PPO | $423.00 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $496.83 | ↓ -57% |
Visitor-reported prices
Comments
Irinotecan 20 mg/ml intravenous solution (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $283.20 | $1.75 – $60.00 |
| UPMC Northwest | Seneca | $719.20 | $1.11 – $377.45 |
| UPMC Jameson | New Castle | $1,122.40 | $1.11 – $289.19 |
| UPMC Mercy | Pittsburgh | $1,591.20 | $1.11 – $284.17 |
| UPMC Muncy | Muncy | $1,091.20 | $1.75 – $1.93 |
| UPMC Passavant-McCandless | Pittsburgh | $1,572.00 | $1.11 – $286.88 |
| UPMC Wellsboro | Wellsboro | $1,091.20 | $1.75 – $1.93 |
| UPMC Western Psychiatric | Pittsburgh | $1,572.00 | $1.75 – $281.12 |