healthcosts.net
Abdominal CT scan (with contrast) at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$957.60
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.
$1,596.00
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.
$61.23 with Aetna of PA vs $1,436.40 with SelectCare — 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $61.23 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $146.37 | ↓ -85% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $156.50 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $163.96 | ↓ -83% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $169.72 | ↓ -82% |
| United Healthcare Community Plan for Families | Unison Kids | $171.41 | ↓ -82% |
| Aetna | Medicare | $174.81 | ↓ -82% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $175.18 | ↓ -82% |
| United Healthcare | Medicare | $181.60 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $183.28 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $183.30 | ↓ -81% |
| Cigna | Medicare | $183.30 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $183.30 | ↓ -81% |
| Aetna | Medicaid | $186.31 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $207.16 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $221.04 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $224.77 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $232.68 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $254.01 | ↓ -73% |
| UPMC Health Plan | Commercial | $328.10 | ↓ -66% |
| Cigna | EBR | $638.40 | ↓ -33% |
| Cigna | Commercial | $638.40 | ↓ -33% |
| Aetna | EBR ASO | $638.40 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $732.91 | ↓ -23% |
| Aetna | EBR FI | $782.04 | ↓ -18% |
| United Healthcare | Compass Exchange | $877.80 | ↓ -8% |
| Aetna | Neighborhood Network | $989.52 | ↑ +3% |
| Aetna | Home Depot Employer Group | $1,016.65 | ↑ +6% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,024.14 | ↑ +7% |
| Cigna | NBR ASO/FI | $1,037.40 | ↑ +8% |
| Aetna | NBR ASO/FI | $1,037.40 | ↑ +8% |
| Cigna | New Business ASO | $1,037.40 | ↑ +8% |
| United Healthcare | All Business | $1,037.40 | ↑ +8% |
| InterGroup | PPO | $1,037.40 | ↑ +8% |
| Coventry/First Health | Commercial | $1,117.20 | ↑ +17% |
| UPMC Health Plan | CHIP | $1,176.50 | ↑ +23% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,261.64 | ↑ +32% |
| Preferred Healthcare System | PPO | $1,276.80 | ↑ +33% |
| Health Coalition Partners | Intergroup | $1,436.40 | ↑ +50% |
| Private Health Care Systems | PPO | $1,436.40 | ↑ +50% |
| Humana | Commercial | $1,436.40 | ↑ +50% |
| SelectCare | Commercial | $1,436.40 | ↑ +50% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal CT scan (with contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $2,917.20 | $163.96 – $3,889.60 |
| UPMC Passavant-McCandless | Pittsburgh | $2,654.40 | $157.72 – $3,760.40 |
| UPMC Hamot | Erie | $4,104.00 | $146.43 – $4,788.00 |
| UPMC McKeesport | Mckeesport | $2,836.20 | $157.31 – $4,017.95 |
| UPMC Carlisle | Carlisle | $1,424.40 | $117.90 – $2,017.90 |
| UPMC Altoona | Altoona | $1,383.00 | $90.00 – $1,844.00 |
| UPMC Cole | Coudersport | $754.20 | $156.50 – $1,005.60 |
| UPMC Community Osteopathic | Harrisburg | $1,424.40 | $83.40 – $1,176.50 |