Bln 1.2 mono emrg 15x1.2 at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$838.80
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.
$1,398.00
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.
$170.50 with Aetna vs $1,543.79 with UPMC Health Plan — 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 | Medicare | $170.50 | ↓ -80% |
| Aetna | EBR ASO | $272.80 | ↓ -67% |
| Cigna | Commercial | $272.80 | ↓ -67% |
| Cigna | EBR | $272.80 | ↓ -67% |
| Aetna | EBR FI | $334.18 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicare | $341.00 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $375.10 | ↓ -55% |
| United Healthcare | Compass Exchange | $375.10 | ↓ -55% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $375.10 | ↓ -55% |
| Aetna | Neighborhood Network | $422.84 | ↓ -50% |
| Aetna | Home Depot Employer Group | $434.43 | ↓ -48% |
| Cigna | NBR ASO/FI | $443.30 | ↓ -47% |
| United Healthcare | All Business | $443.30 | ↓ -47% |
| Aetna | NBR ASO/FI | $443.30 | ↓ -47% |
| Cigna | New Business ASO | $443.30 | ↓ -47% |
| InterGroup | PPO | $443.30 | ↓ -47% |
| Coventry/First Health | Commercial | $477.40 | ↓ -43% |
| Preferred Healthcare System | PPO | $545.60 | ↓ -35% |
| Private Health Care Systems | PPO | $613.80 | ↓ -27% |
| Humana | Commercial | $613.80 | ↓ -27% |
| SelectCare | Commercial | $613.80 | ↓ -27% |
| Health Coalition Partners | Intergroup | $613.80 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $943.93 | ↑ +13% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,162.83 | ↑ +39% |
| UPMC Health Plan | CHIP | $1,274.39 | ↑ +52% |
| UPMC Health Plan | Commercial | $1,543.79 | ↑ +84% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Bln 1.2 mono emrg 15x1.2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,284.00 | $75.62 – $1,274.39 |
| UPMC Community Osteopathic | Harrisburg | $6,126.60 | $56.20 – $1,791.70 |
| UPMC East | Monroeville | $7,396.20 | $55.75 – $1,274.39 |
| UPMC Hamot | Erie | $8,967.60 | $340.38 – $340.38 |
| UPMC Northwest | Seneca | $3,042.60 | $883.43 – $1,542.13 |
| UPMC Horizon-Greenville | Greenville | $1,014.60 | $867.49 – $1,274.39 |
| UPMC Jameson | New Castle | $6,210.00 | $99.47 – $1,274.39 |
| UPMC Magee | Pittsburgh | $6,582.60 | $109.42 – $1,274.39 |