Cath cv dl inj 7fx16cm at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$1,083.60
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.
$1,806.00
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.
$44.00 with Aetna vs $975.24 with Highmark Wholecare (prev Gateway) — 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 | Medicare | $44.00 | ↓ -96% |
| Cigna | EBR | $70.40 | ↓ -94% |
| Cigna | Commercial | $70.40 | ↓ -94% |
| Aetna | EBR ASO | $70.40 | ↓ -94% |
| Aetna | EBR FI | $86.24 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $88.00 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $96.80 | ↓ -91% |
| United Healthcare | Compass Exchange | $96.80 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $96.80 | ↓ -91% |
| Aetna | Neighborhood Network | $109.12 | ↓ -90% |
| Aetna | Home Depot Employer Group | $112.11 | ↓ -90% |
| Cigna | NBR ASO/FI | $114.40 | ↓ -89% |
| United Healthcare | All Business | $114.40 | ↓ -89% |
| Aetna | NBR ASO/FI | $114.40 | ↓ -89% |
| Cigna | New Business ASO | $114.40 | ↓ -89% |
| InterGroup | PPO | $114.40 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $121.44 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $121.44 | ↓ -89% |
| Coventry/First Health | Commercial | $123.20 | ↓ -89% |
| Preferred Healthcare System | PPO | $140.80 | ↓ -87% |
| Health Coalition Partners | Intergroup | $158.40 | ↓ -85% |
| Humana | Commercial | $158.40 | ↓ -85% |
| Private Health Care Systems | PPO | $158.40 | ↓ -85% |
| SelectCare | Commercial | $158.40 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $343.14 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $610.97 | ↓ -44% |
| UPMC Health Plan | CHIP | $787.30 | ↓ -27% |
| UPMC Health Plan | Commercial | $953.73 | ↓ -12% |
| Highmark Wholecare (prev Gateway) | Medicaid | $975.24 | ↓ -10% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath cv dl inj 7fx16cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,385.40 | $2.00 – $787.30 |
| UPMC Carlisle | Carlisle | $453.60 | $8.90 – $235.22 |
| UPMC Cole | Coudersport | $362.40 | $52.44 – $220.80 |
| UPMC Community Osteopathic | Harrisburg | $2,185.20 | $13.00 – $787.30 |
| UPMC East | Monroeville | $1,335.60 | $6.75 – $787.30 |
| UPMC Northwest | Seneca | $670.80 | $952.71 – $952.71 |
| UPMC Hanover | Hanover | $453.60 | $787.30 – $787.30 |
| UPMC Horizon-Greenville | Greenville | $952.20 | $787.30 – $787.30 |