Brace wrist classic lft sm at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$223.20
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.
$372.00
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.
$70.68 with Health Partners Plans (Jefferson Health Plan) vs $359.74 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 | $70.68 | ↓ -68% |
| Aetna | Medicare | $93.00 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $113.83 | ↓ -49% |
| Geisinger | Medicaid/CHIP | $122.76 | ↓ -45% |
| Cigna | Commercial | $148.80 | ↓ -33% |
| Cigna | EBR | $148.80 | ↓ -33% |
| Aetna | EBR ASO | $148.80 | ↓ -33% |
| Aetna | EBR FI | $182.28 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $186.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicaid | $200.88 | ↓ -10% |
| United Healthcare | Compass Exchange | $204.60 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $204.60 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $221.14 | ↓ -1% |
| Aetna | Neighborhood Network | $230.64 | ↑ +3% |
| Aetna | Home Depot Employer Group | $236.96 | ↑ +6% |
| Cigna | NBR ASO/FI | $241.80 | ↑ +8% |
| United Healthcare | All Business | $241.80 | ↑ +8% |
| Aetna | NBR ASO/FI | $241.80 | ↑ +8% |
| Cigna | New Business ASO | $241.80 | ↑ +8% |
| InterGroup | PPO | $241.80 | ↑ +8% |
| Coventry/First Health | Commercial | $260.40 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $272.42 | ↑ +22% |
| UPMC Health Plan | CHIP | $296.97 | ↑ +33% |
| Preferred Healthcare System | PPO | $297.60 | ↑ +33% |
| SelectCare | Commercial | $334.80 | ↑ +50% |
| Health Coalition Partners | Intergroup | $334.80 | ↑ +50% |
| Private Health Care Systems | PPO | $334.80 | ↑ +50% |
| Humana | Commercial | $334.80 | ↑ +50% |
| UPMC Health Plan | Commercial | $359.74 | ↑ +61% |
Visitor-reported prices
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Brace wrist classic lft sm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $132.60 | $41.99 – $296.97 |
| UPMC Carlisle | Carlisle | $75.00 | $17.12 – $119.12 |
| UPMC Cole | Coudersport | $283.80 | $89.87 – $378.40 |
| UPMC Community Osteopathic | Harrisburg | $75.00 | $25.00 – $419.75 |
| UPMC East | Monroeville | $51.00 | $9.12 – $296.97 |
| UPMC Hamot | Erie | $167.40 | $79.74 – $113.83 |
| UPMC Northwest | Seneca | $522.60 | $113.83 – $359.36 |
| UPMC Hanover | Hanover | $75.00 | $64.92 – $296.97 |