C-kit mutation liquid tumor - sendout at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$4,054.80
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.
$6,758.00
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.
$118.89 with Aetna of PA vs $6,082.20 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 | $118.89 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $263.61 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $276.79 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $284.17 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $289.97 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison Kids | $303.15 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $325.66 | ↓ -92% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $329.51 | ↓ -92% |
| Aetna | Medicaid | $329.51 | ↓ -92% |
| Aetna | Medicare | $339.40 | ↓ -92% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $340.12 | ↓ -92% |
| United Healthcare | Medicare | $352.58 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $355.84 | ↓ -91% |
| Cigna | Medicare | $355.87 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $355.87 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $355.87 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $366.39 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $390.93 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $411.52 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $449.24 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $638.56 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $786.65 | ↓ -81% |
| UPMC Health Plan | Commercial | $1,178.82 | ↓ -71% |
| UPMC Health Plan | CHIP | $1,393.62 | ↓ -66% |
| Aetna | EBR ASO | $2,703.20 | ↓ -33% |
| Cigna | EBR | $2,703.20 | ↓ -33% |
| Cigna | Commercial | $2,703.20 | ↓ -33% |
| Aetna | EBR FI | $3,311.42 | ↓ -18% |
| United Healthcare | Compass Exchange | $3,716.90 | ↓ -8% |
| Aetna | Neighborhood Network | $4,189.96 | ↑ +3% |
| Aetna | Home Depot Employer Group | $4,304.85 | ↑ +6% |
| Cigna | NBR ASO/FI | $4,392.70 | ↑ +8% |
| Aetna | NBR ASO/FI | $4,392.70 | ↑ +8% |
| United Healthcare | All Business | $4,392.70 | ↑ +8% |
| InterGroup | PPO | $4,392.70 | ↑ +8% |
| Cigna | New Business ASO | $4,392.70 | ↑ +8% |
| Coventry/First Health | Commercial | $4,730.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $5,406.40 | ↑ +33% |
| Health Coalition Partners | Intergroup | $6,082.20 | ↑ +50% |
| SelectCare | Commercial | $6,082.20 | ↑ +50% |
| Private Health Care Systems | PPO | $6,082.20 | ↑ +50% |
| Humana | Commercial | $6,082.20 | ↑ +50% |
Visitor-reported prices
Comments
C-kit mutation liquid tumor - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,723.60 | $230.27 – $4,964.80 |
| UPMC Cole | Coudersport | $1,123.20 | $53.00 – $1,497.60 |
| UPMC Northwest | Seneca | $4,054.80 | $289.97 – $355.87 |
| UPMC Jameson | New Castle | $4,054.80 | $234.33 – $355.87 |
| UPMC Magee | Pittsburgh | $4,054.80 | $232.46 – $449.24 |
| UPMC Passavant-McCandless | Pittsburgh | $4,055.40 | $232.46 – $378.68 |
| UPMC Presbyterian | Pittsburgh | $4,054.80 | $232.46 – $410.36 |
| UPMC Williamsport | Williamsport | $3,941.40 | $289.97 – $359.75 |