Cdna analysis for variants at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$2,343.60
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.
?
What you pay up front if you don't use insurance.
$3,906.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$66.82 with Aetna of PA vs $1,841.40 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 of PA | Medicare | $66.82 | ↓ -97% |
| UPMC Health Plan | Managed Medicare | $159.72 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $183.04 | ↓ -92% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $185.20 | ↓ -92% |
| Aetna | Medicare | $190.76 | ↓ -92% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $191.16 | ↓ -92% |
| United Healthcare | Medicare | $198.16 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $200.00 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $200.02 | ↓ -91% |
| Cigna | Medicare | $200.02 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $200.02 | ↓ -91% |
| UPMC Health Plan | Commercial | $272.75 | ↓ -88% |
| Cigna | EBR | $818.40 | ↓ -65% |
| Cigna | Commercial | $818.40 | ↓ -65% |
| Aetna | EBR ASO | $818.40 | ↓ -65% |
| UPMC Health Plan | CHIP | $978.04 | ↓ -58% |
| Aetna | EBR FI | $1,002.54 | ↓ -57% |
| Geisinger | Medicaid/CHIP | $1,125.30 | ↓ -52% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,125.30 | ↓ -52% |
| United Healthcare | Compass Exchange | $1,125.30 | ↓ -52% |
| Aetna | Neighborhood Network | $1,268.52 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,271.56 | ↓ -46% |
| Aetna | Home Depot Employer Group | $1,303.30 | ↓ -44% |
| Cigna | NBR ASO/FI | $1,329.90 | ↓ -43% |
| United Healthcare | All Business | $1,329.90 | ↓ -43% |
| Aetna | NBR ASO/FI | $1,329.90 | ↓ -43% |
| Cigna | New Business ASO | $1,329.90 | ↓ -43% |
| InterGroup | PPO | $1,329.90 | ↓ -43% |
| Coventry/First Health | Commercial | $1,432.20 | ↓ -39% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,566.44 | ↓ -33% |
| Preferred Healthcare System | PPO | $1,636.80 | ↓ -30% |
| SelectCare | Commercial | $1,841.40 | ↓ -21% |
| Health Coalition Partners | Intergroup | $1,841.40 | ↓ -21% |
| Private Health Care Systems | PPO | $1,841.40 | ↓ -21% |
| Humana | Commercial | $1,841.40 | ↓ -21% |
Visitor-reported prices
Comments
Cdna analysis for variants at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,277.60 | $183.04 – $736.00 |
| UPMC Carlisle | Carlisle | $1,070.40 | $101.86 – $1,516.40 |
| UPMC Cole | Coudersport | $1,117.20 | $53.00 – $1,489.60 |
| UPMC Community Osteopathic | Harrisburg | $1,070.40 | $147.99 – $1,516.40 |
| UPMC East | Monroeville | $1,916.40 | $183.04 – $814.40 |
| UPMC Hamot | Erie | $4,339.20 | $183.04 – $458.53 |
| UPMC Hanover | Hanover | $1,070.40 | $147.99 – $978.04 |
| UPMC Horizon-Greenville | Greenville | $2,882.40 | $165.81 – $347.53 |