B cells total count at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$205.80
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.
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What you pay up front if you don't use insurance.
$343.00
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.
$13.61 with Aetna of PA vs $334.65 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 | $13.61 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $32.54 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $37.28 | ↓ -82% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $37.73 | ↓ -82% |
| Aetna | Medicare | $38.86 | ↓ -81% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $38.94 | ↓ -81% |
| United Healthcare | Medicare | $40.37 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $40.74 | ↓ -80% |
| Cigna | Medicare | $40.75 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $40.75 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $40.75 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $42.16 | ↓ -80% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $44.27 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $46.38 | ↓ -77% |
| United Healthcare Community Plan for Families | Unison Kids | $48.48 | ↓ -76% |
| Aetna | Medicaid | $52.70 | ↓ -74% |
| UPMC Health Plan | Commercial | $53.21 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $58.60 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $62.52 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $65.82 | ↓ -68% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $71.85 | ↓ -65% |
| Aetna | EBR ASO | $137.20 | ↓ -33% |
| Cigna | EBR | $137.20 | ↓ -33% |
| Cigna | Commercial | $137.20 | ↓ -33% |
| Aetna | EBR FI | $168.07 | ↓ -18% |
| United Healthcare | Compass Exchange | $188.65 | ↓ -8% |
| UPMC Health Plan | CHIP | $190.79 | ↓ -7% |
| Aetna | Neighborhood Network | $212.66 | ↑ +3% |
| Aetna | Home Depot Employer Group | $218.49 | ↑ +6% |
| Cigna | NBR ASO/FI | $222.95 | ↑ +8% |
| United Healthcare | All Business | $222.95 | ↑ +8% |
| Aetna | NBR ASO/FI | $222.95 | ↑ +8% |
| Cigna | New Business ASO | $222.95 | ↑ +8% |
| InterGroup | PPO | $222.95 | ↑ +8% |
| Coventry/First Health | Commercial | $240.10 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $271.65 | ↑ +32% |
| Preferred Healthcare System | PPO | $274.40 | ↑ +33% |
| SelectCare | Commercial | $308.70 | ↑ +50% |
| Health Coalition Partners | Intergroup | $308.70 | ↑ +50% |
| Private Health Care Systems | PPO | $308.70 | ↑ +50% |
| Humana | Commercial | $308.70 | ↑ +50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $334.65 | ↑ +63% |
Visitor-reported prices
Comments
B cells total count at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $347.40 | $37.28 – $463.20 |
| UPMC Carlisle | Carlisle | $210.00 | $37.35 – $297.50 |
| UPMC Community Osteopathic | Harrisburg | $210.00 | $37.35 – $297.50 |
| UPMC East | Monroeville | $757.20 | $37.28 – $1,009.60 |
| UPMC Hamot | Erie | $207.00 | $37.28 – $97.96 |
| UPMC Northwest | Seneca | $335.40 | $34.22 – $48.48 |
| UPMC Hanover | Hanover | $210.00 | $37.35 – $60.37 |
| UPMC Horizon-Greenville | Greenville | $320.40 | $33.78 – $70.80 |