Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$156.60
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.
?
What you pay up front if you don't use insurance.
$261.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$7.55 with UPMC Work Partners vs $36.91 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Work Partners | Workers Comp | $7.55 | ↓ -95% |
| Aetna | EBR ASO | $10.40 | ↓ -93% |
| Cigna | EBR | $10.40 | ↓ -93% |
| Cigna | Commercial | $10.40 | ↓ -93% |
| Aetna of PA | Medicare | $10.83 | ↓ -93% |
| Aetna | EBR FI | $12.74 | ↓ -92% |
| United Healthcare | Compass Exchange | $14.82 | ↓ -91% |
| Aetna | Neighborhood Network | $16.12 | ↓ -90% |
| Aetna | Home Depot Employer Group | $16.56 | ↓ -89% |
| InterGroup | PPO | $16.90 | ↓ -89% |
| Aetna | NBR ASO/FI | $16.90 | ↓ -89% |
| Cigna | New Business ASO | $16.90 | ↓ -89% |
| Cigna | NBR ASO/FI | $16.90 | ↓ -89% |
| United Healthcare | All Business | $17.42 | ↓ -89% |
| Coventry/First Health | Commercial | $18.20 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $18.95 | ↓ -88% |
| Preferred Healthcare System | PPO | $20.80 | ↓ -87% |
| Humana | Commercial | $23.40 | ↓ -85% |
| Private Health Care Systems | PPO | $23.40 | ↓ -85% |
| SelectCare | Commercial | $23.40 | ↓ -85% |
| Health Coalition Partners | Intergroup | $23.40 | ↓ -85% |
| UPMC Health Plan | CHIP | $25.22 | ↓ -84% |
| UPMC Health Plan | Managed Medicare | $25.88 | ↓ -83% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $27.11 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $30.01 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $30.01 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $30.01 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $30.01 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $30.01 | ↓ -81% |
| Aetna | Medicare | $30.91 | ↓ -80% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $30.98 | ↓ -80% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $31.51 | ↓ -80% |
| United Healthcare | Medicare | $32.11 | ↓ -79% |
| Cigna | Medicare | $32.41 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $32.41 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $32.41 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $32.41 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $33.40 | ↓ -79% |
| United Healthcare Community Plan for Families | Unison Kids | $34.51 | ↓ -78% |
| UPMC Health Plan | Commercial | $36.91 | ↓ -76% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $373.80 | $9.29 – $32.11 |
| UPMC Carlisle | Carlisle | $96.00 | $18.91 – $182.55 |
| UPMC Cole | Coudersport | $948.00 | $24.67 – $71.20 |
| UPMC Community Osteopathic | Harrisburg | $96.00 | $16.28 – $182.55 |
| UPMC East | Monroeville | $526.20 | $8.73 – $58.40 |
| UPMC Hamot | Erie | $274.80 | $9.78 – $32.41 |
| UPMC Northwest | Seneca | $96.00 | $18.95 – $32.41 |
| UPMC Hanover | Hanover | $96.00 | $29.71 – $182.55 |