Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$1,014.40
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.
$1,268.00
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.
$35.77 with Aetna of PA vs $1,141.20 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 | $35.77 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $62.59 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $85.49 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $99.13 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $99.13 | ↓ -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 | $99.13 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $99.13 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $99.13 | ↓ -90% |
| Aetna | Medicare | $102.10 | ↓ -90% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $102.32 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $104.09 | ↓ -90% |
| United Healthcare | Medicare | $106.07 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $107.05 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $107.06 | ↓ -89% |
| Cigna | Medicare | $107.06 | ↓ -89% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $107.06 | ↓ -89% |
| United Healthcare Community Plan for Families | Unison Kids | $114.00 | ↓ -89% |
| UPMC Health Plan | Commercial | $121.93 | ↓ -88% |
| UPMC Health Plan | CHIP | $142.19 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $368.23 | ↓ -64% |
| United Healthcare | Compass Exchange | $375.90 | ↓ -63% |
| United Healthcare | All Business | $375.90 | ↓ -63% |
| Cigna | EBR | $507.20 | ↓ -50% |
| Cigna | Commercial | $507.20 | ↓ -50% |
| Aetna | EBR ASO | $507.20 | ↓ -50% |
| Aetna | EBR FI | $621.32 | ↓ -39% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $671.71 | ↓ -34% |
| Aetna | Neighborhood Network | $786.16 | ↓ -23% |
| Aetna | Home Depot Employer Group | $807.72 | ↓ -20% |
| Cigna | NBR ASO/FI | $824.20 | ↓ -19% |
| InterGroup | PPO | $824.20 | ↓ -19% |
| Cigna | New Business ASO | $824.20 | ↓ -19% |
| Aetna | NBR ASO/FI | $824.20 | ↓ -19% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $827.48 | ↓ -18% |
| Coventry/First Health | Commercial | $887.60 | ↓ -13% |
| Preferred Healthcare System | PPO | $1,014.40 | ↑ +0% |
| Private Health Care Systems | PPO | $1,141.20 | ↑ +13% |
| Humana | Commercial | $1,141.20 | ↑ +13% |
| SelectCare | Commercial | $1,141.20 | ↑ +13% |
| Health Coalition Partners | Intergroup | $1,141.20 | ↑ +13% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,014.80 | $62.59 – $2,686.40 |
| UPMC Carlisle | Carlisle | $2,087.40 | $98.14 – $2,957.15 |
| UPMC Cole | Coudersport | $5,197.80 | $99.13 – $6,930.40 |
| UPMC Community Osteopathic | Harrisburg | $2,087.40 | $98.14 – $2,957.15 |
| UPMC Hamot | Erie | $2,179.20 | $62.59 – $198.31 |
| UPMC Northwest | Seneca | $2,112.00 | $62.59 – $107.06 |
| UPMC Hanover | Hanover | $2,087.40 | $98.14 – $158.61 |
| UPMC Horizon-Greenville | Greenville | $2,112.00 | $62.59 – $186.02 |