Cath malecot 28fr 4-wing ltx at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$1,220.40
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.
$2,034.00
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.
$3.50 with Aetna vs $347.67 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 |
|---|---|---|---|
| Aetna | Medicare | $3.50 | ↓ -100% |
| Aetna | EBR ASO | $5.60 | ↓ -100% |
| Cigna | Commercial | $5.60 | ↓ -100% |
| Cigna | EBR | $5.60 | ↓ -100% |
| Aetna | EBR FI | $6.86 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $7.00 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $7.70 | ↓ -99% |
| United Healthcare | Compass Exchange | $7.70 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $7.70 | ↓ -99% |
| Aetna | Neighborhood Network | $8.68 | ↓ -99% |
| Aetna | Home Depot Employer Group | $8.92 | ↓ -99% |
| Cigna | NBR ASO/FI | $9.10 | ↓ -99% |
| United Healthcare | All Business | $9.10 | ↓ -99% |
| Aetna | NBR ASO/FI | $9.10 | ↓ -99% |
| Cigna | New Business ASO | $9.10 | ↓ -99% |
| InterGroup | PPO | $9.10 | ↓ -99% |
| Coventry/First Health | Commercial | $9.80 | ↓ -99% |
| Preferred Healthcare System | PPO | $11.20 | ↓ -99% |
| Private Health Care Systems | PPO | $12.60 | ↓ -99% |
| Humana | Commercial | $12.60 | ↓ -99% |
| SelectCare | Commercial | $12.60 | ↓ -99% |
| Health Coalition Partners | Intergroup | $12.60 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $214.33 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $264.04 | ↓ -78% |
| UPMC Health Plan | CHIP | $287.00 | ↓ -76% |
| UPMC Health Plan | Commercial | $347.67 | ↓ -72% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath malecot 28fr 4-wing ltx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,965.00 | $5.00 – $287.00 |
| UPMC Carlisle | Carlisle | $372.00 | $5.89 – $36.55 |
| UPMC Cole | Coudersport | $567.00 | $28.50 – $120.00 |
| UPMC Community Osteopathic | Harrisburg | $2,099.40 | $3.80 – $406.83 |
| UPMC East | Monroeville | $1,728.60 | $2.50 – $287.00 |
| UPMC Hamot | Erie | $1,496.40 | $77.29 – $77.29 |
| UPMC Northwest | Seneca | $655.20 | $200.59 – $347.30 |
| UPMC Hanover | Hanover | $780.00 | $287.00 – $287.00 |