Application finger splntstatic 29130 at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$124.20
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.
$207.00
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.
$44.34 with Aetna of PA vs $190.50 with Highmark BCBS of PA — 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 | $44.34 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $82.27 | ↓ -34% |
| Cigna | EBR | $82.80 | ↓ -33% |
| Cigna | Commercial | $82.80 | ↓ -33% |
| Aetna | EBR ASO | $82.80 | ↓ -33% |
| UPMC Health Plan | Commercial | $91.55 | ↓ -26% |
| Aetna | EBR FI | $101.43 | ↓ -18% |
| UPMC Health Plan | Managed Medicare | $105.98 | ↓ -15% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $113.85 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $113.85 | ↓ -8% |
| United Healthcare | Compass Exchange | $113.85 | ↓ -8% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $122.89 | ↓ -1% |
| Aetna | Medicare | $126.58 | ↑ +2% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $126.85 | ↑ +2% |
| Aetna | Neighborhood Network | $128.34 | ↑ +3% |
| United Healthcare | Medicare | $131.49 | ↑ +6% |
| Aetna | Home Depot Employer Group | $131.86 | ↑ +6% |
| Highmark Wholecare (prev Gateway) | Medicare | $132.71 | ↑ +7% |
| AmeriHealth Caritas | Medicare | $132.72 | ↑ +7% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $132.72 | ↑ +7% |
| Cigna | Medicare | $132.72 | ↑ +7% |
| Cigna | NBR ASO/FI | $134.55 | ↑ +8% |
| United Healthcare | All Business | $134.55 | ↑ +8% |
| Aetna | NBR ASO/FI | $134.55 | ↑ +8% |
| Cigna | New Business ASO | $134.55 | ↑ +8% |
| InterGroup | PPO | $134.55 | ↑ +8% |
| Coventry/First Health | Commercial | $144.90 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $154.64 | ↑ +25% |
| Preferred Healthcare System | PPO | $165.60 | ↑ +33% |
| UPMC Health Plan | CHIP | $165.98 | ↑ +34% |
| Health Coalition Partners | Intergroup | $186.30 | ↑ +50% |
| SelectCare | Commercial | $186.30 | ↑ +50% |
| Private Health Care Systems | PPO | $186.30 | ↑ +50% |
| Humana | Commercial | $186.30 | ↑ +50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $190.50 | ↑ +53% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Application finger splntstatic 29130 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $103.20 | $55.76 – $137.60 |
| UPMC Carlisle | Carlisle | $226.20 | $51.65 – $320.45 |
| UPMC Cole | Coudersport | $126.00 | $9.42 – $98.03 |
| UPMC Community Osteopathic | Harrisburg | $226.20 | $75.40 – $320.45 |
| UPMC East | Monroeville | $235.20 | $56.30 – $313.60 |
| UPMC Hamot | Erie | $231.60 | $55.76 – $178.73 |
| UPMC Northwest | Seneca | $159.60 | $78.41 – $132.72 |
| UPMC Hanover | Hanover | $226.20 | $85.63 – $197.02 |