2d tee w or without fol w/con,in at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$852.60
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.
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What you pay up front if you don't use insurance.
$1,421.00
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.
$271.77 with Aetna of PA vs $2,982.63 with UPMC Health Plan — 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 | $271.77 | ↓ -68% |
| Cigna | Commercial | $568.40 | ↓ -33% |
| Aetna | EBR ASO | $568.40 | ↓ -33% |
| Cigna | EBR | $568.40 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $649.59 | ↓ -24% |
| Aetna | EBR FI | $696.29 | ↓ -18% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $753.23 | ↓ -12% |
| Aetna | Medicare | $775.83 | ↓ -9% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $777.48 | ↓ -9% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $781.55 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $781.55 | ↓ -8% |
| United Healthcare | Compass Exchange | $781.55 | ↓ -8% |
| United Healthcare | Medicare | $805.96 | ↓ -5% |
| Highmark Wholecare (prev Gateway) | Medicare | $813.41 | ↓ -5% |
| Cigna | Medicare | $813.49 | ↓ -5% |
| AmeriHealth Caritas | Medicare | $813.49 | ↓ -5% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $813.49 | ↓ -5% |
| Aetna | Neighborhood Network | $881.02 | ↑ +3% |
| Aetna | Home Depot Employer Group | $905.18 | ↑ +6% |
| Cigna | NBR ASO/FI | $923.65 | ↑ +8% |
| United Healthcare | All Business | $923.65 | ↑ +8% |
| Aetna | NBR ASO/FI | $923.65 | ↑ +8% |
| Cigna | New Business ASO | $923.65 | ↑ +8% |
| InterGroup | PPO | $923.65 | ↑ +8% |
| Coventry/First Health | Commercial | $994.70 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,136.80 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,199.24 | ↑ +41% |
| SelectCare | Commercial | $1,278.90 | ↑ +50% |
| Health Coalition Partners | Intergroup | $1,278.90 | ↑ +50% |
| Private Health Care Systems | PPO | $1,278.90 | ↑ +50% |
| Humana | Commercial | $1,278.90 | ↑ +50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,477.35 | ↑ +73% |
| UPMC Health Plan | CHIP | $2,462.15 | ↑ +189% |
| UPMC Health Plan | Commercial | $2,982.63 | ↑ +250% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | TRICARE | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
2d tee w or without fol w/con,in at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,996.20 | $432.45 – $2,661.60 |
| UPMC Carlisle | Carlisle | $1,450.80 | $331.27 – $2,055.30 |
| UPMC Community Osteopathic | Harrisburg | $1,450.80 | $483.60 – $2,462.15 |
| UPMC East | Monroeville | $2,431.20 | $436.57 – $3,241.60 |
| UPMC Hamot | Erie | $888.00 | $432.45 – $1,010.76 |
| UPMC Northwest | Seneca | $1,641.60 | $683.10 – $813.49 |
| UPMC Horizon-Greenville | Greenville | $2,008.20 | $674.37 – $1,048.86 |
| UPMC Jameson | New Castle | $2,008.20 | $440.08 – $941.54 |