Boot j walker l at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$1,594.20
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.
$2,657.00
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.
$241.75 with UPMC Work Partners vs $2,391.30 with Private Health Care Systems — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $241.75 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $504.83 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $642.17 | ↓ -60% |
| Aetna | Medicare | $664.25 | ↓ -58% |
| UPMC Health Plan | CHIP | $746.54 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $791.10 | ↓ -50% |
| Geisinger | Medicaid/CHIP | $876.81 | ↓ -45% |
| UPMC Health Plan | Commercial | $904.35 | ↓ -43% |
| Cigna | EBR | $1,062.80 | ↓ -33% |
| Cigna | Commercial | $1,062.80 | ↓ -33% |
| Aetna | EBR ASO | $1,062.80 | ↓ -33% |
| Aetna | EBR FI | $1,301.93 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,328.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,434.78 | ↓ -10% |
| United Healthcare | Compass Exchange | $1,461.35 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,461.35 | ↓ -8% |
| Aetna | Neighborhood Network | $1,647.34 | ↑ +3% |
| Aetna | Home Depot Employer Group | $1,692.51 | ↑ +6% |
| Cigna | NBR ASO/FI | $1,727.05 | ↑ +8% |
| Aetna | NBR ASO/FI | $1,727.05 | ↑ +8% |
| InterGroup | PPO | $1,727.05 | ↑ +8% |
| United Healthcare | All Business | $1,727.05 | ↑ +8% |
| Cigna | New Business ASO | $1,727.05 | ↑ +8% |
| Coventry/First Health | Commercial | $1,859.90 | ↑ +17% |
| Preferred Healthcare System | PPO | $2,125.60 | ↑ +33% |
| SelectCare | Commercial | $2,391.30 | ↑ +50% |
| Health Coalition Partners | Intergroup | $2,391.30 | ↑ +50% |
| Humana | Commercial | $2,391.30 | ↑ +50% |
| Private Health Care Systems | PPO | $2,391.30 | ↑ +50% |
Visitor-reported prices
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Boot j walker l at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,652.40 | $231.57 – $2,203.20 |
| UPMC East | Monroeville | $1,501.20 | $233.77 – $2,001.60 |
| UPMC Hamot | Erie | $1,356.00 | $231.57 – $241.75 |
| UPMC Northwest | Seneca | $1,516.20 | $241.75 – $903.38 |
| UPMC Horizon-Greenville | Greenville | $1,456.80 | $241.75 – $746.54 |
| UPMC Jameson | New Castle | $1,456.80 | $89.79 – $746.54 |
| UPMC Magee | Pittsburgh | $846.00 | $98.77 – $746.54 |
| UPMC McKeesport | Mckeesport | $1,975.20 | $98.77 – $746.54 |