Bacterial meningitis antigen at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$46.80
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.
$78.00
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.
$4.16 with Aetna of PA vs $70.20 with SelectCare — 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $4.16 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $9.95 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $11.40 | ↓ -76% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $11.54 | ↓ -75% |
| Aetna | Medicare | $11.89 | ↓ -75% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $11.91 | ↓ -75% |
| United Healthcare | Medicare | $12.35 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $12.46 | ↓ -73% |
| AmeriHealth Caritas | Medicare | $12.46 | ↓ -73% |
| Cigna | Medicare | $12.46 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $12.46 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $14.08 | ↓ -70% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $14.78 | ↓ -68% |
| UPMC Health Plan | Managed Medicaid | $15.49 | ↓ -67% |
| United Healthcare Community Plan for Families | Unison Kids | $16.19 | ↓ -65% |
| Aetna | Medicaid | $17.60 | ↓ -62% |
| UPMC Health Plan | Commercial | $17.79 | ↓ -62% |
| Geisinger | Medicaid/CHIP | $19.57 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicaid | $20.88 | ↓ -55% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $21.98 | ↓ -53% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $24.00 | ↓ -49% |
| Cigna | EBR | $31.20 | ↓ -33% |
| Cigna | Commercial | $31.20 | ↓ -33% |
| Aetna | EBR ASO | $31.20 | ↓ -33% |
| Aetna | EBR FI | $38.22 | ↓ -18% |
| United Healthcare | Compass Exchange | $42.90 | ↓ -8% |
| Aetna | Neighborhood Network | $48.36 | ↑ +3% |
| Aetna | Home Depot Employer Group | $49.69 | ↑ +6% |
| Cigna | NBR ASO/FI | $50.70 | ↑ +8% |
| United Healthcare | All Business | $50.70 | ↑ +8% |
| Aetna | NBR ASO/FI | $50.70 | ↑ +8% |
| Cigna | New Business ASO | $50.70 | ↑ +8% |
| InterGroup | PPO | $50.70 | ↑ +8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $54.59 | ↑ +17% |
| Coventry/First Health | Commercial | $54.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $62.40 | ↑ +33% |
| UPMC Health Plan | CHIP | $63.78 | ↑ +36% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $67.25 | ↑ +44% |
| Health Coalition Partners | Intergroup | $70.20 | ↑ +50% |
| Humana | Commercial | $70.20 | ↑ +50% |
| Private Health Care Systems | PPO | $70.20 | ↑ +50% |
| SelectCare | Commercial | $70.20 | ↑ +50% |
Visitor-reported prices
Comments
Bacterial meningitis antigen at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $100.80 | $11.40 – $134.40 |
| UPMC Carlisle | Carlisle | $42.60 | $9.73 – $60.35 |
| UPMC Cole | Coudersport | $105.00 | $7.50 – $140.00 |
| UPMC Community Osteopathic | Harrisburg | $42.60 | $11.42 – $63.78 |
| UPMC East | Monroeville | $153.00 | $11.40 – $204.00 |
| UPMC Hamot | Erie | $45.00 | $11.40 – $19.68 |
| UPMC Northwest | Seneca | $236.40 | $10.47 – $16.19 |
| UPMC Hanover | Hanover | $42.60 | $11.42 – $19.18 |