Cardiolipin antibody iga at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$125.40
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.
$209.00
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.
$9.18 with Aetna of PA vs $188.10 with SelectCare — 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 | $9.18 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $21.95 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $25.16 | ↓ -80% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $25.45 | ↓ -80% |
| Aetna | Medicare | $26.21 | ↓ -79% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $26.27 | ↓ -79% |
| United Healthcare | Medicare | $27.23 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $27.48 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $27.49 | ↓ -78% |
| AmeriHealth Caritas | Medicare | $27.49 | ↓ -78% |
| Cigna | Medicare | $27.49 | ↓ -78% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $35.16 | ↓ -72% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $36.92 | ↓ -71% |
| UPMC Health Plan | Managed Medicaid | $38.68 | ↓ -69% |
| United Healthcare Community Plan for Families | Unison Kids | $40.43 | ↓ -68% |
| UPMC Health Plan | Commercial | $42.76 | ↓ -66% |
| Aetna | Medicaid | $43.95 | ↓ -65% |
| Geisinger | Medicaid/CHIP | $48.87 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicaid | $52.14 | ↓ -58% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $54.89 | ↓ -56% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $59.92 | ↓ -52% |
| Cigna | EBR | $83.60 | ↓ -33% |
| Cigna | Commercial | $83.60 | ↓ -33% |
| Aetna | EBR ASO | $83.60 | ↓ -33% |
| Aetna | EBR FI | $102.41 | ↓ -18% |
| United Healthcare | Compass Exchange | $114.95 | ↓ -8% |
| Aetna | Neighborhood Network | $129.58 | ↑ +3% |
| Aetna | Home Depot Employer Group | $133.13 | ↑ +6% |
| Cigna | NBR ASO/FI | $135.85 | ↑ +8% |
| United Healthcare | All Business | $135.85 | ↑ +8% |
| Aetna | NBR ASO/FI | $135.85 | ↑ +8% |
| Cigna | New Business ASO | $135.85 | ↑ +8% |
| InterGroup | PPO | $135.85 | ↑ +8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $139.38 | ↑ +11% |
| Coventry/First Health | Commercial | $146.30 | ↑ +17% |
| UPMC Health Plan | CHIP | $153.33 | ↑ +22% |
| Preferred Healthcare System | PPO | $167.20 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $171.71 | ↑ +37% |
| Health Coalition Partners | Intergroup | $188.10 | ↑ +50% |
| Humana | Commercial | $188.10 | ↑ +50% |
| Private Health Care Systems | PPO | $188.10 | ↑ +50% |
| SelectCare | Commercial | $188.10 | ↑ +50% |
Visitor-reported prices
Comments
Cardiolipin antibody iga at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $136.80 | $25.16 – $182.40 |
| UPMC Carlisle | Carlisle | $142.20 | $25.20 – $177.65 |
| UPMC Cole | Coudersport | $345.00 | $16.54 – $460.00 |
| UPMC Community Osteopathic | Harrisburg | $146.40 | $25.20 – $177.65 |
| UPMC East | Monroeville | $388.20 | $25.16 – $488.00 |
| UPMC Hamot | Erie | $177.60 | $25.16 – $50.26 |
| UPMC Northwest | Seneca | $129.60 | $23.08 – $40.43 |
| UPMC Hanover | Hanover | $142.20 | $25.20 – $47.89 |