Sincalide 5 mcg solution for injection at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$384.80
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.
$481.00
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.
$77.89 with UPMC Health Plan vs $432.90 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $77.89 | ↓ -80% |
| Aetna | Medicare | $120.25 | ↓ -69% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $123.36 | ↓ -68% |
| Geisinger | Medicaid/CHIP | $123.36 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $123.36 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $123.36 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $139.68 | ↓ -64% |
| UPMC Health Plan | Commercial | $151.74 | ↓ -61% |
| UPMC Health Plan | CHIP | $154.45 | ↓ -60% |
| Aetna | EBR ASO | $192.40 | ↓ -50% |
| Cigna | EBR | $192.40 | ↓ -50% |
| Cigna | Commercial | $192.40 | ↓ -50% |
| Aetna | EBR FI | $235.69 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicare | $240.50 | ↓ -38% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $268.82 | ↓ -30% |
| United Healthcare | Compass Exchange | $274.17 | ↓ -29% |
| Aetna | Neighborhood Network | $298.22 | ↓ -23% |
| Aetna | Home Depot Employer Group | $306.40 | ↓ -20% |
| Cigna | NBR ASO/FI | $312.65 | ↓ -19% |
| Aetna | NBR ASO/FI | $312.65 | ↓ -19% |
| Cigna | New Business ASO | $312.65 | ↓ -19% |
| InterGroup | PPO | $312.65 | ↓ -19% |
| United Healthcare | All Business | $322.27 | ↓ -16% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $331.16 | ↓ -14% |
| Coventry/First Health | Commercial | $336.70 | ↓ -13% |
| Preferred Healthcare System | PPO | $384.80 | ↑ +0% |
| Health Coalition Partners | Intergroup | $432.90 | ↑ +13% |
| SelectCare | Commercial | $432.90 | ↑ +13% |
| Private Health Care Systems | PPO | $432.90 | ↑ +13% |
| Humana | Commercial | $432.90 | ↑ +13% |
Visitor-reported prices
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Sincalide 5 mcg solution for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $430.40 | $77.89 – $430.40 |
| UPMC Carlisle | Carlisle | $81.60 | $16.99 – $187.67 |
| UPMC Cole | Coudersport | $422.40 | $123.36 – $563.20 |
| UPMC Community Osteopathic | Harrisburg | $81.60 | $24.80 – $161.40 |
| UPMC East | Monroeville | $578.40 | $77.89 – $578.40 |
| UPMC Hamot | Erie | $890.40 | $77.89 – $362.37 |
| UPMC Northwest | Seneca | $475.20 | $77.89 – $251.59 |
| UPMC Hanover | Hanover | $81.60 | $123.36 – $187.67 |