Coveredge 32 lead kit 40cm 48 at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$526.20
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.
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What you pay up front if you don't use insurance.
$877.00
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.
$25.65 with Health Partners Plans (Jefferson Health Plan) vs $4,321.14 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 | $25.65 | ↓ -95% |
| Aetna | Medicare | $33.75 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $44.55 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $44.55 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $45.67 | ↓ -91% |
| Cigna | EBR | $54.00 | ↓ -90% |
| Cigna | Commercial | $54.00 | ↓ -90% |
| Aetna | EBR ASO | $54.00 | ↓ -90% |
| Aetna | EBR FI | $66.15 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $67.50 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $72.90 | ↓ -86% |
| United Healthcare | Compass Exchange | $74.25 | ↓ -86% |
| Aetna | Neighborhood Network | $83.70 | ↓ -84% |
| Aetna | Home Depot Employer Group | $86.00 | ↓ -84% |
| Cigna | NBR ASO/FI | $87.75 | ↓ -83% |
| United Healthcare | All Business | $87.75 | ↓ -83% |
| Aetna | NBR ASO/FI | $87.75 | ↓ -83% |
| Cigna | New Business ASO | $87.75 | ↓ -83% |
| InterGroup | PPO | $87.75 | ↓ -83% |
| Coventry/First Health | Commercial | $94.50 | ↓ -82% |
| Preferred Healthcare System | PPO | $108.00 | ↓ -79% |
| Private Health Care Systems | PPO | $121.50 | ↓ -77% |
| SelectCare | Commercial | $121.50 | ↓ -77% |
| Health Coalition Partners | Intergroup | $121.50 | ↓ -77% |
| Humana | Commercial | $121.50 | ↓ -77% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,177.23 | ↑ +124% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,450.24 | ↑ +176% |
| UPMC Health Plan | CHIP | $3,567.09 | ↑ +578% |
| UPMC Health Plan | Commercial | $4,321.14 | ↑ +721% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Coveredge 32 lead kit 40cm 48 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,909.80 | $27.74 – $3,567.09 |
| UPMC Cole | Coudersport | $19,597.20 | $3,567.09 – $26,129.60 |
| UPMC Community Osteopathic | Harrisburg | $4,535.40 | $1,511.80 – $6,425.15 |
| UPMC East | Monroeville | $6,440.40 | $428.56 – $3,567.09 |
| UPMC Hamot | Erie | $526.20 | $424.51 – $424.51 |
| UPMC Northwest | Seneca | $3,053.40 | $1,101.77 – $4,316.49 |
| UPMC Horizon-Greenville | Greenville | $4,086.60 | $1,081.90 – $3,567.09 |
| UPMC Jameson | New Castle | $3,649.20 | $432.00 – $3,567.09 |