Abl1 gene at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$1,282.20
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.
$2,137.00
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.
$108.24 with Aetna of PA vs $2,502.75 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 | $108.24 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $258.72 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $263.61 | ↓ -79% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $276.79 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $289.97 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $296.49 | ↓ -77% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $300.00 | ↓ -77% |
| United Healthcare Community Plan for Families | Unison Kids | $303.15 | ↓ -76% |
| Aetna | Medicare | $309.00 | ↓ -76% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $309.66 | ↓ -76% |
| United Healthcare | Medicare | $321.00 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $323.97 | ↓ -75% |
| Cigna | Medicare | $324.00 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $324.00 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $324.00 | ↓ -75% |
| Aetna | Medicaid | $329.51 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $366.39 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $390.93 | ↓ -70% |
| Aetna | EBR ASO | $410.00 | ↓ -68% |
| Cigna | Commercial | $410.00 | ↓ -68% |
| Cigna | EBR | $410.00 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $411.52 | ↓ -68% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $449.24 | ↓ -65% |
| Aetna | EBR FI | $502.25 | ↓ -61% |
| United Healthcare | Compass Exchange | $563.75 | ↓ -56% |
| Aetna | Neighborhood Network | $635.50 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $638.56 | ↓ -50% |
| Aetna | Home Depot Employer Group | $652.92 | ↓ -49% |
| Cigna | New Business ASO | $666.25 | ↓ -48% |
| Aetna | NBR ASO/FI | $666.25 | ↓ -48% |
| Cigna | NBR ASO/FI | $666.25 | ↓ -48% |
| United Healthcare | All Business | $666.25 | ↓ -48% |
| InterGroup | PPO | $666.25 | ↓ -48% |
| Coventry/First Health | Commercial | $717.50 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $786.65 | ↓ -39% |
| Preferred Healthcare System | PPO | $820.00 | ↓ -36% |
| SelectCare | Commercial | $922.50 | ↓ -28% |
| Private Health Care Systems | PPO | $922.50 | ↓ -28% |
| Health Coalition Partners | Intergroup | $922.50 | ↓ -28% |
| Humana | Commercial | $922.50 | ↓ -28% |
| UPMC Health Plan | Commercial | $2,117.02 | ↑ +65% |
| UPMC Health Plan | CHIP | $2,502.75 | ↑ +95% |
Visitor-reported prices
Comments
Abl1 gene at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,187.20 | $230.27 – $780.00 |
| UPMC East | Monroeville | $3,340.80 | $232.46 – $2,266.40 |
| UPMC Hamot | Erie | $3,340.80 | $230.27 – $366.39 |
| UPMC Northwest | Seneca | $1,282.20 | $272.07 – $324.00 |
| UPMC Horizon-Greenville | Greenville | $3,373.20 | $263.61 – $372.33 |
| UPMC Jameson | New Castle | $1,018.80 | $234.33 – $324.00 |
| UPMC Magee | Pittsburgh | $3,373.20 | $232.46 – $449.24 |
| UPMC McKeesport | Mckeesport | $3,340.80 | $232.46 – $330.00 |