Cath council tip 16fr 5cc at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$27.00
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.
$45.00
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.
$2.85 with Health Partners Plans (Jefferson Health Plan) vs $92.26 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 | $2.85 | ↓ -89% |
| Aetna | Medicare | $3.75 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4.95 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $4.95 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5.07 | ↓ -81% |
| Cigna | EBR | $6.00 | ↓ -78% |
| Cigna | Commercial | $6.00 | ↓ -78% |
| Aetna | EBR ASO | $6.00 | ↓ -78% |
| Aetna | EBR FI | $7.35 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $7.50 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $8.10 | ↓ -70% |
| United Healthcare | Compass Exchange | $8.25 | ↓ -69% |
| Aetna | Neighborhood Network | $9.30 | ↓ -66% |
| Aetna | Home Depot Employer Group | $9.55 | ↓ -65% |
| Cigna | NBR ASO/FI | $9.75 | ↓ -64% |
| United Healthcare | All Business | $9.75 | ↓ -64% |
| Aetna | NBR ASO/FI | $9.75 | ↓ -64% |
| Cigna | New Business ASO | $9.75 | ↓ -64% |
| InterGroup | PPO | $9.75 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $10.35 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $10.35 | ↓ -62% |
| Coventry/First Health | Commercial | $10.50 | ↓ -61% |
| Preferred Healthcare System | PPO | $12.00 | ↓ -56% |
| Private Health Care Systems | PPO | $13.50 | ↓ -50% |
| SelectCare | Commercial | $13.50 | ↓ -50% |
| Health Coalition Partners | Intergroup | $13.50 | ↓ -50% |
| Humana | Commercial | $13.50 | ↓ -50% |
| UPMC Work Partners | Workers Comp | $31.77 | ↑ +18% |
| UPMC Health Plan | CHIP | $76.16 | ↑ +182% |
| UPMC Health Plan | Commercial | $92.26 | ↑ +242% |
Visitor-reported prices
Comments
Cath council tip 16fr 5cc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $40.80 | $2.47 – $76.16 |
| UPMC East | Monroeville | $138.60 | $2.00 – $76.16 |
| UPMC Northwest | Seneca | $130.20 | $31.77 – $92.16 |
| UPMC Horizon-Greenville | Greenville | $75.00 | $31.77 – $76.16 |
| UPMC Jameson | New Castle | $75.00 | $11.66 – $76.16 |
| UPMC Kane | Kane | $9.00 | $31.77 – $78.12 |
| UPMC Magee | Pittsburgh | $155.40 | $12.83 – $76.16 |
| UPMC McKeesport | Mckeesport | $63.60 | $12.83 – $76.16 |