Calprotectin fecal at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$316.80
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.
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What you pay up front if you don't use insurance.
$528.00
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.
$7.08 with Aetna of PA vs $475.20 with Humana — 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $7.08 | ↓ -98% |
| UPMC Health Plan | Managed Medicare | $16.93 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $19.40 | ↓ -94% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $19.63 | ↓ -94% |
| Aetna | Medicare | $20.22 | ↓ -94% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $20.26 | ↓ -94% |
| United Healthcare | Medicare | $21.00 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $21.20 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $21.20 | ↓ -93% |
| Cigna | Medicare | $21.20 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $21.20 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $21.94 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $23.04 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $24.13 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison Kids | $25.23 | ↓ -92% |
| Aetna | Medicaid | $27.43 | ↓ -91% |
| UPMC Health Plan | Commercial | $28.83 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $30.49 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $32.54 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $34.25 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $37.39 | ↓ -88% |
| UPMC Health Plan | CHIP | $103.38 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $141.34 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $174.12 | ↓ -45% |
| Aetna | EBR ASO | $211.20 | ↓ -33% |
| Cigna | EBR | $211.20 | ↓ -33% |
| Cigna | Commercial | $211.20 | ↓ -33% |
| Aetna | EBR FI | $258.72 | ↓ -18% |
| United Healthcare | Compass Exchange | $290.40 | ↓ -8% |
| Aetna | Neighborhood Network | $327.36 | ↑ +3% |
| Aetna | Home Depot Employer Group | $336.34 | ↑ +6% |
| Cigna | NBR ASO/FI | $343.20 | ↑ +8% |
| Aetna | NBR ASO/FI | $343.20 | ↑ +8% |
| United Healthcare | All Business | $343.20 | ↑ +8% |
| InterGroup | PPO | $343.20 | ↑ +8% |
| Cigna | New Business ASO | $343.20 | ↑ +8% |
| Coventry/First Health | Commercial | $369.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $422.40 | ↑ +33% |
| Health Coalition Partners | Intergroup | $475.20 | ↑ +50% |
| SelectCare | Commercial | $475.20 | ↑ +50% |
| Private Health Care Systems | PPO | $475.20 | ↑ +50% |
| Humana | Commercial | $475.20 | ↑ +50% |
Visitor-reported prices
Comments
Calprotectin fecal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $234.00 | $19.40 – $312.00 |
| UPMC Carlisle | Carlisle | $99.00 | $19.43 – $140.25 |
| UPMC Cole | Coudersport | $178.80 | $12.76 – $238.40 |
| UPMC Community Osteopathic | Harrisburg | $99.00 | $19.43 – $140.25 |
| UPMC East | Monroeville | $394.80 | $19.40 – $526.40 |
| UPMC Hamot | Erie | $263.40 | $19.40 – $50.97 |
| UPMC Northwest | Seneca | $175.20 | $17.80 – $25.23 |
| UPMC Hanover | Hanover | $99.00 | $19.43 – $31.41 |