Change cystostomy tube simple at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$366.00
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.
$610.00
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.
$29.40 with United Healthcare Community Plan for Families vs $549.00 with Health Coalition Partners — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | Unison MedPLUS | $29.40 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $30.80 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison Kids | $32.20 | ↓ -91% |
| Aetna | Medicaid | $35.00 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $38.92 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $41.52 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $42.22 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $43.71 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $47.72 | ↓ -87% |
| Aetna of PA | Medicare | $83.66 | ↓ -77% |
| UPMC Health Plan | Commercial | $101.06 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $121.47 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $154.64 | ↓ -58% |
| UPMC Health Plan | CHIP | $183.23 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $190.50 | ↓ -48% |
| UPMC Health Plan | Managed Medicare | $199.96 | ↓ -45% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $231.87 | ↓ -37% |
| Aetna | Medicare | $238.83 | ↓ -35% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $239.34 | ↓ -35% |
| Cigna | Commercial | $244.00 | ↓ -33% |
| Aetna | EBR ASO | $244.00 | ↓ -33% |
| Cigna | EBR | $244.00 | ↓ -33% |
| United Healthcare | Medicare | $248.10 | ↓ -32% |
| Highmark Wholecare (prev Gateway) | Medicare | $250.40 | ↓ -32% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $250.42 | ↓ -32% |
| Cigna | Medicare | $250.42 | ↓ -32% |
| AmeriHealth Caritas | Medicare | $250.42 | ↓ -32% |
| Aetna | EBR FI | $298.90 | ↓ -18% |
| United Healthcare | Compass Exchange | $335.50 | ↓ -8% |
| Aetna | Neighborhood Network | $378.20 | ↑ +3% |
| Aetna | Home Depot Employer Group | $388.57 | ↑ +6% |
| Aetna | NBR ASO/FI | $396.50 | ↑ +8% |
| United Healthcare | All Business | $396.50 | ↑ +8% |
| InterGroup | PPO | $396.50 | ↑ +8% |
| Cigna | New Business ASO | $396.50 | ↑ +8% |
| Cigna | NBR ASO/FI | $396.50 | ↑ +8% |
| Coventry/First Health | Commercial | $427.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $488.00 | ↑ +33% |
| Humana | Commercial | $549.00 | ↑ +50% |
| SelectCare | Commercial | $549.00 | ↑ +50% |
| Private Health Care Systems | PPO | $549.00 | ↑ +50% |
| Health Coalition Partners | Intergroup | $549.00 | ↑ +50% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Change cystostomy tube simple at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $364.80 | $28.00 – $486.40 |
| UPMC Carlisle | Carlisle | $1,728.00 | $35.56 – $2,448.00 |
| UPMC Cole | Coudersport | $355.80 | $19.68 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $1,728.00 | $35.56 – $2,448.00 |
| UPMC East | Monroeville | $357.60 | $30.80 – $476.80 |
| UPMC Hamot | Erie | $341.40 | $30.80 – $337.24 |
| UPMC Northwest | Seneca | $298.20 | $30.80 – $243.46 |
| UPMC Hanover | Hanover | $1,728.00 | $35.56 – $371.74 |