Brace ank air stirrup univ at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$302.40
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.
$504.00
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.
$95.76 with Health Partners Plans (Jefferson Health Plan) vs $453.60 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $95.76 | ↓ -68% |
| Aetna | Medicare | $126.00 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $166.32 | ↓ -45% |
| UPMC Work Partners | Workers Comp | $173.07 | ↓ -43% |
| Cigna | EBR | $201.60 | ↓ -33% |
| Aetna | EBR ASO | $201.60 | ↓ -33% |
| Cigna | Commercial | $201.60 | ↓ -33% |
| Aetna | EBR FI | $246.96 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $252.00 | ↓ -17% |
| UPMC Health Plan | CHIP | $253.74 | ↓ -16% |
| Highmark Wholecare (prev Gateway) | Medicaid | $272.16 | ↓ -10% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $277.20 | ↓ -8% |
| United Healthcare | Compass Exchange | $277.20 | ↓ -8% |
| UPMC Health Plan | Commercial | $307.37 | ↑ +2% |
| Aetna | Neighborhood Network | $312.48 | ↑ +3% |
| Aetna | Home Depot Employer Group | $321.05 | ↑ +6% |
| Cigna | NBR ASO/FI | $327.60 | ↑ +8% |
| United Healthcare | All Business | $327.60 | ↑ +8% |
| Aetna | NBR ASO/FI | $327.60 | ↑ +8% |
| Cigna | New Business ASO | $327.60 | ↑ +8% |
| InterGroup | PPO | $327.60 | ↑ +8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $336.24 | ↑ +11% |
| Coventry/First Health | Commercial | $352.80 | ↑ +17% |
| Preferred Healthcare System | PPO | $403.20 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $414.22 | ↑ +37% |
| SelectCare | Commercial | $453.60 | ↑ +50% |
| Health Coalition Partners | Intergroup | $453.60 | ↑ +50% |
| Humana | Commercial | $453.60 | ↑ +50% |
| Private Health Care Systems | PPO | $453.60 | ↑ +50% |
Visitor-reported prices
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Brace ank air stirrup univ at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $272.40 | $86.26 – $363.20 |
| UPMC Cole | Coudersport | $232.80 | $73.72 – $310.40 |
| UPMC East | Monroeville | $126.60 | $40.09 – $253.74 |
| UPMC Hamot | Erie | $345.60 | $121.25 – $173.07 |
| UPMC Northwest | Seneca | $249.60 | $173.07 – $314.69 |
| UPMC Horizon-Greenville | Greenville | $302.40 | $173.07 – $309.01 |
| UPMC Jameson | New Castle | $83.40 | $54.31 – $253.74 |
| UPMC Magee | Pittsburgh | $301.20 | $59.74 – $253.74 |