Cath baloon occl urnry 34f 7x2x65 at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$1,946.40
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.
$3,244.00
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.
$202.16 with Health Partners Plans (Jefferson Health Plan) vs $3,855.10 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 | $202.16 | ↓ -90% |
| Aetna | Medicare | $266.00 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $351.12 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $351.12 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $359.95 | ↓ -82% |
| Cigna | EBR | $425.60 | ↓ -78% |
| Cigna | Commercial | $425.60 | ↓ -78% |
| Aetna | EBR ASO | $425.60 | ↓ -78% |
| Aetna | EBR FI | $521.36 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $532.00 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $574.56 | ↓ -70% |
| United Healthcare | Compass Exchange | $585.20 | ↓ -70% |
| Aetna | Neighborhood Network | $659.68 | ↓ -66% |
| Aetna | Home Depot Employer Group | $677.77 | ↓ -65% |
| Cigna | NBR ASO/FI | $691.60 | ↓ -64% |
| United Healthcare | All Business | $691.60 | ↓ -64% |
| Aetna | NBR ASO/FI | $691.60 | ↓ -64% |
| Cigna | New Business ASO | $691.60 | ↓ -64% |
| InterGroup | PPO | $691.60 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $734.16 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $734.16 | ↓ -62% |
| Coventry/First Health | Commercial | $744.80 | ↓ -62% |
| Preferred Healthcare System | PPO | $851.20 | ↓ -56% |
| Private Health Care Systems | PPO | $957.60 | ↓ -51% |
| SelectCare | Commercial | $957.60 | ↓ -51% |
| Health Coalition Partners | Intergroup | $957.60 | ↓ -51% |
| Humana | Commercial | $957.60 | ↓ -51% |
| UPMC Health Plan | CHIP | $3,182.37 | ↑ +64% |
| UPMC Health Plan | Commercial | $3,855.10 | ↑ +98% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath baloon occl urnry 34f 7x2x65 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,984.80 | $139.65 – $3,182.37 |
| UPMC Community Osteopathic | Harrisburg | $559.80 | $186.60 – $3,182.37 |
| UPMC East | Monroeville | $1,429.80 | $168.00 – $3,182.37 |
| UPMC Northwest | Seneca | $358.80 | $3,850.95 – $3,850.95 |
| UPMC Jameson | New Castle | $5,955.00 | $560.00 – $3,182.37 |
| UPMC Magee | Pittsburgh | $1,032.60 | $616.00 – $3,182.37 |
| UPMC McKeesport | Mckeesport | $9,011.40 | $616.00 – $3,182.37 |
| UPMC Memorial | York | $559.80 | $560.00 – $3,182.37 |