CT 3d report other modality w/workstation at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$583.80
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.
$973.00
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.
$243.25 with Aetna vs $875.70 with Private Health Care Systems — 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 | $243.25 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $282.47 | ↓ -52% |
| UPMC Health Plan | Commercial | $355.83 | ↓ -39% |
| Cigna | EBR | $389.20 | ↓ -33% |
| Aetna | EBR ASO | $389.20 | ↓ -33% |
| Cigna | Commercial | $389.20 | ↓ -33% |
| Aetna | EBR FI | $476.77 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $486.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $535.15 | ↓ -8% |
| United Healthcare | Compass Exchange | $535.15 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $535.15 | ↓ -8% |
| UPMC Health Plan | CHIP | $584.19 | ↑ +0% |
| Aetna | Neighborhood Network | $603.26 | ↑ +3% |
| Aetna | Home Depot Employer Group | $619.80 | ↑ +6% |
| Cigna | NBR ASO/FI | $632.45 | ↑ +8% |
| United Healthcare | All Business | $632.45 | ↑ +8% |
| Aetna | NBR ASO/FI | $632.45 | ↑ +8% |
| Cigna | New Business ASO | $632.45 | ↑ +8% |
| InterGroup | PPO | $632.45 | ↑ +8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $653.20 | ↑ +12% |
| Coventry/First Health | Commercial | $681.10 | ↑ +17% |
| Preferred Healthcare System | PPO | $778.40 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $804.68 | ↑ +38% |
| SelectCare | Commercial | $875.70 | ↑ +50% |
| Health Coalition Partners | Intergroup | $875.70 | ↑ +50% |
| Humana | Commercial | $875.70 | ↑ +50% |
| Private Health Care Systems | PPO | $875.70 | ↑ +50% |
Visitor-reported prices
Comments
CT 3d report other modality w/workstation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $869.40 | $235.55 – $1,159.20 |
| UPMC Carlisle | Carlisle | $607.80 | $31.14 – $861.05 |
| UPMC Cole | Coudersport | $124.20 | $57.38 – $282.47 |
| UPMC Community Osteopathic | Harrisburg | $607.80 | $31.14 – $1,035.61 |
| UPMC East | Monroeville | $1,348.80 | $237.79 – $1,798.40 |
| UPMC Hamot | Erie | $1,467.60 | $161.41 – $291.72 |
| UPMC Northwest | Seneca | $610.80 | $282.47 – $611.34 |
| UPMC Hanover | Hanover | $607.80 | $31.14 – $2,504.00 |