Brca1&2 gen ful dup/del alys at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$2,287.20
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.
?
What you pay up front if you don't use insurance.
$3,812.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$210.79 with Aetna of PA vs $3,430.80 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 of PA | Medicare | $210.79 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $467.38 | ↓ -80% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $490.75 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $503.84 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $514.12 | ↓ -78% |
| United Healthcare Community Plan for Families | Unison Kids | $537.49 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $577.40 | ↓ -75% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $584.23 | ↓ -74% |
| Aetna | Medicaid | $584.23 | ↓ -74% |
| Aetna | Medicare | $601.76 | ↓ -74% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $603.04 | ↓ -74% |
| United Healthcare | Medicare | $625.13 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $630.91 | ↓ -72% |
| AmeriHealth Caritas | Medicare | $630.97 | ↓ -72% |
| Cigna | Medicare | $630.97 | ↓ -72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $630.97 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $649.61 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $693.12 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $729.63 | ↓ -68% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $796.51 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $989.44 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,218.90 | ↓ -47% |
| Aetna | EBR ASO | $1,524.80 | ↓ -33% |
| Cigna | Commercial | $1,524.80 | ↓ -33% |
| Cigna | EBR | $1,524.80 | ↓ -33% |
| Aetna | EBR FI | $1,867.88 | ↓ -18% |
| United Healthcare | Compass Exchange | $2,096.60 | ↓ -8% |
| UPMC Health Plan | Commercial | $2,310.19 | ↑ +1% |
| Aetna | Neighborhood Network | $2,363.44 | ↑ +3% |
| Aetna | Home Depot Employer Group | $2,428.24 | ↑ +6% |
| InterGroup | PPO | $2,477.80 | ↑ +8% |
| United Healthcare | All Business | $2,477.80 | ↑ +8% |
| Cigna | New Business ASO | $2,477.80 | ↑ +8% |
| Cigna | NBR ASO/FI | $2,477.80 | ↑ +8% |
| Aetna | NBR ASO/FI | $2,477.80 | ↑ +8% |
| Coventry/First Health | Commercial | $2,668.40 | ↑ +17% |
| UPMC Health Plan | CHIP | $2,731.12 | ↑ +19% |
| Preferred Healthcare System | PPO | $3,049.60 | ↑ +33% |
| Health Coalition Partners | Intergroup | $3,430.80 | ↑ +50% |
| SelectCare | Commercial | $3,430.80 | ↑ +50% |
| Private Health Care Systems | PPO | $3,430.80 | ↑ +50% |
| Humana | Commercial | $3,430.80 | ↑ +50% |
Visitor-reported prices
Comments
Brca1&2 gen ful dup/del alys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,920.00 | $356.80 – $2,560.00 |
| UPMC East | Monroeville | $1,920.00 | $360.19 – $2,560.00 |
| UPMC Hamot | Erie | $1,920.00 | $356.80 – $649.61 |
| UPMC Northwest | Seneca | $2,287.20 | $514.12 – $630.97 |
| UPMC Horizon-Greenville | Greenville | $2,287.20 | $467.38 – $649.61 |
| UPMC Jameson | New Castle | $2,287.20 | $363.09 – $630.97 |
| UPMC Magee | Pittsburgh | $2,287.20 | $360.19 – $796.51 |
| UPMC McKeesport | Mckeesport | $2,287.20 | $360.19 – $642.65 |