Acetone qualitative at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$33.00
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.
$55.00
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.
$1.63 with Aetna of PA vs $49.50 with Private Health Care Systems — 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 | $1.63 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $3.90 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $4.47 | ↓ -86% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $4.52 | ↓ -86% |
| Aetna | Medicare | $4.66 | ↓ -86% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $4.67 | ↓ -86% |
| United Healthcare | Medicare | $4.84 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $4.88 | ↓ -85% |
| Cigna | Medicare | $4.88 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.88 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.88 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $5.27 | ↓ -84% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $5.53 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $5.80 | ↓ -82% |
| United Healthcare Community Plan for Families | Unison Kids | $6.06 | ↓ -82% |
| Aetna | Medicaid | $6.59 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $7.32 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7.82 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $8.23 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $8.98 | ↓ -73% |
| UPMC Health Plan | Commercial | $12.12 | ↓ -63% |
| Cigna | Commercial | $22.00 | ↓ -33% |
| Aetna | EBR ASO | $22.00 | ↓ -33% |
| Cigna | EBR | $22.00 | ↓ -33% |
| Aetna | EBR FI | $26.95 | ↓ -18% |
| United Healthcare | Compass Exchange | $30.25 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $34.07 | ↑ +3% |
| Aetna | Neighborhood Network | $34.10 | ↑ +3% |
| Aetna | Home Depot Employer Group | $35.03 | ↑ +6% |
| Aetna | NBR ASO/FI | $35.75 | ↑ +8% |
| InterGroup | PPO | $35.75 | ↑ +8% |
| United Healthcare | All Business | $35.75 | ↑ +8% |
| Cigna | New Business ASO | $35.75 | ↑ +8% |
| Cigna | NBR ASO/FI | $35.75 | ↑ +8% |
| Coventry/First Health | Commercial | $38.50 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $41.97 | ↑ +27% |
| UPMC Health Plan | CHIP | $43.46 | ↑ +32% |
| Preferred Healthcare System | PPO | $44.00 | ↑ +33% |
| Health Coalition Partners | Intergroup | $49.50 | ↑ +50% |
| Humana | Commercial | $49.50 | ↑ +50% |
| SelectCare | Commercial | $49.50 | ↑ +50% |
| Private Health Care Systems | PPO | $49.50 | ↑ +50% |
Visitor-reported prices
Comments
Acetone qualitative at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $17.40 | $3.97 – $24.65 |
| UPMC Cole | Coudersport | $46.80 | $2.94 – $62.40 |
| UPMC Community Osteopathic | Harrisburg | $17.40 | $4.47 – $43.46 |
| UPMC Hamot | Erie | $118.20 | $4.47 – $12.29 |
| UPMC Northwest | Seneca | $34.80 | $4.10 – $6.06 |
| UPMC Hanover | Hanover | $17.40 | $4.47 – $7.23 |
| UPMC Horizon-Greenville | Greenville | $39.00 | $4.05 – $8.48 |
| UPMC Jameson | New Castle | $25.80 | $4.47 – $12.50 |