Cath groshong MRI 8fr plstc port at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$2,371.80
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.
$3,953.00
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.
$251.94 with Health Partners Plans (Jefferson Health Plan) vs $2,648.19 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 | $251.94 | ↓ -89% |
| Aetna | Medicare | $331.50 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $437.58 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $437.58 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $448.59 | ↓ -81% |
| Cigna | EBR | $530.40 | ↓ -78% |
| Cigna | Commercial | $530.40 | ↓ -78% |
| Aetna | EBR ASO | $530.40 | ↓ -78% |
| Aetna | EBR FI | $649.74 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $663.00 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $716.04 | ↓ -70% |
| United Healthcare | Compass Exchange | $729.30 | ↓ -69% |
| Aetna | Neighborhood Network | $822.12 | ↓ -65% |
| Aetna | Home Depot Employer Group | $844.66 | ↓ -64% |
| Cigna | NBR ASO/FI | $861.90 | ↓ -64% |
| United Healthcare | All Business | $861.90 | ↓ -64% |
| Aetna | NBR ASO/FI | $861.90 | ↓ -64% |
| Cigna | New Business ASO | $861.90 | ↓ -64% |
| InterGroup | PPO | $861.90 | ↓ -64% |
| Coventry/First Health | Commercial | $928.20 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,024.55 | ↓ -57% |
| Preferred Healthcare System | PPO | $1,060.80 | ↓ -55% |
| Private Health Care Systems | PPO | $1,193.40 | ↓ -50% |
| SelectCare | Commercial | $1,193.40 | ↓ -50% |
| Health Coalition Partners | Intergroup | $1,193.40 | ↓ -50% |
| Humana | Commercial | $1,193.40 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,262.15 | ↓ -47% |
| UPMC Health Plan | CHIP | $2,186.07 | ↓ -8% |
| UPMC Health Plan | Commercial | $2,648.19 | ↑ +12% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath groshong MRI 8fr plstc port at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,029.80 | $148.96 – $2,186.07 |
| UPMC Cole | Coudersport | $450.00 | $142.50 – $600.00 |
| UPMC Community Osteopathic | Harrisburg | $1,597.20 | $262.40 – $2,186.07 |
| UPMC East | Monroeville | $3,170.40 | $213.56 – $2,186.07 |
| UPMC Hamot | Erie | $2,746.20 | $369.46 – $369.46 |
| UPMC Northwest | Seneca | $2,380.80 | $958.88 – $2,645.34 |
| UPMC Horizon-Greenville | Greenville | $2,491.20 | $941.59 – $2,186.07 |
| UPMC Jameson | New Castle | $1,778.40 | $375.97 – $2,186.07 |