Thyrotropin alfa 0.9 mg intramuscular solution at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$6,332.80
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.
$7,916.00
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.
$763.57 with Aetna of PA vs $7,124.40 with SelectCare — 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 | $763.57 | ↓ -88% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,259.65 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $1,336.25 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,551.77 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $1,825.11 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $2,116.32 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,116.32 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,116.32 | ↓ -67% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,116.32 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,116.32 | ↓ -67% |
| Aetna | Medicare | $2,179.81 | ↓ -66% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $2,184.47 | ↓ -66% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $2,222.14 | ↓ -65% |
| United Healthcare | Medicare | $2,264.46 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,285.41 | ↓ -64% |
| Cigna | Medicare | $2,285.63 | ↓ -64% |
| AmeriHealth Caritas | Medicare | $2,285.63 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,285.63 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $2,298.81 | ↓ -64% |
| UPMC Health Plan | CHIP | $2,345.32 | ↓ -63% |
| United Healthcare Community Plan for Families | Unison Kids | $2,433.77 | ↓ -62% |
| UPMC Health Plan | Commercial | $2,603.08 | ↓ -59% |
| Cigna | EBR | $3,166.40 | ↓ -50% |
| Aetna | EBR ASO | $3,166.40 | ↓ -50% |
| Cigna | Commercial | $3,166.40 | ↓ -50% |
| Aetna | EBR FI | $3,878.84 | ↓ -39% |
| United Healthcare | Compass Exchange | $4,512.12 | ↓ -29% |
| Aetna | Neighborhood Network | $4,907.92 | ↓ -23% |
| Aetna | Home Depot Employer Group | $5,042.49 | ↓ -20% |
| InterGroup | PPO | $5,145.40 | ↓ -19% |
| Aetna | NBR ASO/FI | $5,145.40 | ↓ -19% |
| Cigna | New Business ASO | $5,145.40 | ↓ -19% |
| Cigna | NBR ASO/FI | $5,145.40 | ↓ -19% |
| United Healthcare | All Business | $5,303.72 | ↓ -16% |
| Coventry/First Health | Commercial | $5,541.20 | ↓ -13% |
| Preferred Healthcare System | PPO | $6,332.80 | ↑ +0% |
| Private Health Care Systems | PPO | $7,124.40 | ↑ +13% |
| Health Coalition Partners | Intergroup | $7,124.40 | ↑ +13% |
| Humana | Commercial | $7,124.40 | ↑ +13% |
| SelectCare | Commercial | $7,124.40 | ↑ +13% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | TRICARE | not published by hospital | — |
Visitor-reported prices
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Thyrotropin alfa 0.9 mg intramuscular solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,097.60 | $294.40 – $6,097.60 |
| UPMC Carlisle | Carlisle | $1,186.20 | $270.85 – $3,386.11 |
| UPMC Cole | Coudersport | $1,864.20 | $500.35 – $2,116.32 |
| UPMC Community Osteopathic | Harrisburg | $1,186.20 | $395.40 – $2,603.08 |
| UPMC East | Monroeville | $19,696.80 | $297.20 – $26,262.40 |
| UPMC Hamot | Erie | $4,949.60 | $294.40 – $2,285.63 |
| UPMC Hanover | Hanover | $1,186.20 | $2,095.16 – $3,386.11 |
| UPMC Horizon-Greenville | Greenville | $5,934.00 | $1,157.65 – $2,285.63 |