Antibody elution rbc reference at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$115.20
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.
?
What you pay up front if you don't use insurance.
$192.00
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.
$8.45 with Health Partners Plans (Jefferson Health Plan) vs $176.44 with Cigna — 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $8.45 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $8.87 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $9.29 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison Kids | $9.72 | ↓ -92% |
| Aetna | Medicaid | $10.56 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $11.74 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12.53 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $13.19 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $14.40 | ↓ -88% |
| UPMC Health Plan | Commercial | $14.79 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $39.81 | ↓ -65% |
| UPMC Health Plan | CHIP | $53.03 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $58.35 | ↓ -49% |
| Aetna of PA | Medicare | $58.94 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $71.88 | ↓ -38% |
| Cigna | Commercial | $76.80 | ↓ -33% |
| Cigna | EBR | $76.80 | ↓ -33% |
| Aetna | EBR ASO | $76.80 | ↓ -33% |
| Aetna | EBR FI | $94.08 | ↓ -18% |
| United Healthcare | Compass Exchange | $105.60 | ↓ -8% |
| Aetna | Neighborhood Network | $119.04 | ↑ +3% |
| Aetna | Home Depot Employer Group | $122.30 | ↑ +6% |
| United Healthcare | All Business | $124.80 | ↑ +8% |
| Cigna | NBR ASO/FI | $124.80 | ↑ +8% |
| Cigna | New Business ASO | $124.80 | ↑ +8% |
| Aetna | NBR ASO/FI | $124.80 | ↑ +8% |
| InterGroup | PPO | $124.80 | ↑ +8% |
| Coventry/First Health | Commercial | $134.40 | ↑ +17% |
| UPMC Health Plan | Managed Medicare | $140.89 | ↑ +22% |
| Preferred Healthcare System | PPO | $153.60 | ↑ +33% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $163.37 | ↑ +42% |
| Aetna | Medicare | $168.27 | ↑ +46% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $168.63 | ↑ +46% |
| Health Coalition Partners | Intergroup | $172.80 | ↑ +50% |
| Humana | Commercial | $172.80 | ↑ +50% |
| Private Health Care Systems | PPO | $172.80 | ↑ +50% |
| SelectCare | Commercial | $172.80 | ↑ +50% |
| United Healthcare | Medicare | $174.81 | ↑ +52% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.42 | ↑ +53% |
| AmeriHealth Caritas | Medicare | $176.44 | ↑ +53% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $176.44 | ↑ +53% |
| Cigna | Medicare | $176.44 | ↑ +53% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Antibody elution rbc reference at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $189.60 | $8.45 – $252.80 |
| UPMC Carlisle | Carlisle | $203.40 | $8.45 – $288.15 |
| UPMC Community Osteopathic | Harrisburg | $203.40 | $8.45 – $288.15 |
| UPMC East | Monroeville | $163.80 | $8.45 – $218.40 |
| UPMC Hamot | Erie | $81.00 | $8.45 – $213.04 |
| UPMC Northwest | Seneca | $54.00 | $9.29 – $171.54 |
| UPMC Hanover | Hanover | $203.40 | $8.45 – $261.92 |
| UPMC Horizon-Greenville | Greenville | $109.20 | $8.45 – $176.44 |