Bln press regulation 71-80cm at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$14,169.00
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.
$23,615.00
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.
$1,701.83 with Health Partners Plans (Jefferson Health Plan) vs $15,075.30 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,701.83 | ↓ -88% |
| Aetna | Medicare | $2,239.25 | ↓ -84% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,955.81 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $2,955.81 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,030.15 | ↓ -79% |
| Cigna | EBR | $3,582.80 | ↓ -75% |
| Cigna | Commercial | $3,582.80 | ↓ -75% |
| Aetna | EBR ASO | $3,582.80 | ↓ -75% |
| Aetna | EBR FI | $4,388.93 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $4,478.50 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $4,836.78 | ↓ -66% |
| United Healthcare | Compass Exchange | $4,926.35 | ↓ -65% |
| Aetna | Neighborhood Network | $5,553.34 | ↓ -61% |
| Aetna | Home Depot Employer Group | $5,705.61 | ↓ -60% |
| Cigna | NBR ASO/FI | $5,822.05 | ↓ -59% |
| United Healthcare | All Business | $5,822.05 | ↓ -59% |
| Aetna | NBR ASO/FI | $5,822.05 | ↓ -59% |
| Cigna | New Business ASO | $5,822.05 | ↓ -59% |
| InterGroup | PPO | $5,822.05 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $6,180.33 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $6,180.33 | ↓ -56% |
| Coventry/First Health | Commercial | $6,269.90 | ↓ -56% |
| Preferred Healthcare System | PPO | $7,165.60 | ↓ -49% |
| Private Health Care Systems | PPO | $8,061.30 | ↓ -43% |
| SelectCare | Commercial | $8,061.30 | ↓ -43% |
| Health Coalition Partners | Intergroup | $8,061.30 | ↓ -43% |
| Humana | Commercial | $8,061.30 | ↓ -43% |
| UPMC Health Plan | CHIP | $12,444.60 | ↓ -12% |
| UPMC Health Plan | Commercial | $15,075.30 | ↑ +6% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Bln press regulation 71-80cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Horizon-Greenville | Greenville | $11,097.00 | $12,444.60 – $12,444.60 |
| UPMC Magee | Pittsburgh | $15,621.00 | $2,637.80 – $12,444.60 |
| UPMC Mercy | Pittsburgh | $16,708.20 | $9,826.79 – $9,826.79 |
| UPMC Muncy | Muncy | $8,839.20 | $886.50 – $5,319.00 |
| UPMC Wellsboro | Wellsboro | $10,689.60 | $964.98 – $4,824.90 |
| Uniontown Hospital | Uniontown | $1,741.88 | not published |