Cholesterol body fluid at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$418.20
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.
$697.00
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.
$0.78 with UPMC Health Plan vs $62.10 with Private Health Care Systems — 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $0.78 | ↓ -100% |
| UPMC Health Plan | CHIP | $2.80 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $7.32 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $9.02 | ↓ -98% |
| Aetna | Medicare | $17.25 | ↓ -96% |
| Cigna | Commercial | $27.60 | ↓ -93% |
| Cigna | EBR | $27.60 | ↓ -93% |
| Aetna | EBR ASO | $27.60 | ↓ -93% |
| Aetna | EBR FI | $33.81 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $34.50 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $37.95 | ↓ -91% |
| United Healthcare | Compass Exchange | $37.95 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $37.95 | ↓ -91% |
| Aetna | Neighborhood Network | $42.78 | ↓ -90% |
| Aetna | Home Depot Employer Group | $43.95 | ↓ -89% |
| Cigna | NBR ASO/FI | $44.85 | ↓ -89% |
| United Healthcare | All Business | $44.85 | ↓ -89% |
| Aetna | NBR ASO/FI | $44.85 | ↓ -89% |
| Cigna | New Business ASO | $44.85 | ↓ -89% |
| InterGroup | PPO | $44.85 | ↓ -89% |
| Coventry/First Health | Commercial | $48.30 | ↓ -88% |
| Preferred Healthcare System | PPO | $55.20 | ↓ -87% |
| Humana | Commercial | $62.10 | ↓ -85% |
| Health Coalition Partners | Intergroup | $62.10 | ↓ -85% |
| SelectCare | Commercial | $62.10 | ↓ -85% |
| Private Health Care Systems | PPO | $62.10 | ↓ -85% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cholesterol body fluid at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $49.80 | $2.80 – $91.96 |
| UPMC Cole | Coudersport | $61.80 | $2.80 – $82.40 |
| UPMC Community Osteopathic | Harrisburg | $49.80 | $2.80 – $35.70 |
| UPMC Hanover | Hanover | $49.80 | $2.80 – $91.96 |
| UPMC Horizon-Greenville | Greenville | $364.20 | $0.78 – $4.27 |
| UPMC Kane | Kane | $205.20 | $2.06 – $2.06 |
| UPMC Lititz | Lititz | $49.80 | $2.80 – $91.96 |
| UPMC McKeesport | Mckeesport | $267.00 | $0.79 – $2.66 |