Absorpt drg <=16 sq in w/bdr at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$13.80
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.
?
What you pay up front if you don't use insurance.
$23.00
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.
$2.80 with UPMC Work Partners vs $20.70 with Private Health Care Systems — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $2.80 | ↓ -80% |
| Aetna | Medicare | $5.75 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $5.98 | ↓ -57% |
| UPMC Health Plan | CHIP | $6.78 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $7.37 | ↓ -47% |
| UPMC Health Plan | Commercial | $8.21 | ↓ -41% |
| Cigna | Commercial | $9.20 | ↓ -33% |
| Aetna | EBR ASO | $9.20 | ↓ -33% |
| Cigna | EBR | $9.20 | ↓ -33% |
| Aetna | EBR FI | $11.27 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $11.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $12.65 | ↓ -8% |
| United Healthcare | Compass Exchange | $12.65 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $12.65 | ↓ -8% |
| Aetna | Neighborhood Network | $14.26 | ↑ +3% |
| Aetna | Home Depot Employer Group | $14.65 | ↑ +6% |
| Cigna | NBR ASO/FI | $14.95 | ↑ +8% |
| United Healthcare | All Business | $14.95 | ↑ +8% |
| Aetna | NBR ASO/FI | $14.95 | ↑ +8% |
| Cigna | New Business ASO | $14.95 | ↑ +8% |
| InterGroup | PPO | $14.95 | ↑ +8% |
| Coventry/First Health | Commercial | $16.10 | ↑ +17% |
| Preferred Healthcare System | PPO | $18.40 | ↑ +33% |
| SelectCare | Commercial | $20.70 | ↑ +50% |
| Health Coalition Partners | Intergroup | $20.70 | ↑ +50% |
| Humana | Commercial | $20.70 | ↑ +50% |
| Private Health Care Systems | PPO | $20.70 | ↑ +50% |
Visitor-reported prices
Comments
Absorpt drg <=16 sq in w/bdr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $0.60 | $0.50 – $6.78 |
| UPMC East | Monroeville | $16.80 | $0.25 – $6.78 |
| UPMC Hamot | Erie | $0.60 | $2.16 – $2.80 |
| UPMC Northwest | Seneca | $0.60 | $2.80 – $8.20 |
| UPMC Horizon-Greenville | Greenville | $16.20 | $2.80 – $6.78 |
| UPMC Magee | Pittsburgh | $0.60 | $1.12 – $6.78 |
| UPMC McKeesport | Mckeesport | $14.40 | $1.12 – $6.78 |
| UPMC Mercy | Pittsburgh | $0.60 | $2.16 – $5.35 |