Doppler upper/lower extremity arteries complete bilateral at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$354.00
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.
$590.00
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.
$53.82 with Aetna of PA vs $531.00 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 of PA | Medicare | $53.82 | ↓ -85% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $96.13 | ↓ -73% |
| UPMC Health Plan | Managed Medicaid | $100.70 | ↓ -72% |
| United Healthcare Community Plan for Families | Unison Kids | $105.28 | ↓ -70% |
| Aetna | Medicaid | $114.44 | ↓ -68% |
| Geisinger | Medicaid/CHIP | $127.25 | ↓ -64% |
| UPMC Health Plan | Managed Medicare | $128.64 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicaid | $135.77 | ↓ -62% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $138.06 | ↓ -61% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $142.92 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $149.17 | ↓ -58% |
| Aetna | Medicare | $153.65 | ↓ -57% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $153.97 | ↓ -57% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $156.02 | ↓ -56% |
| United Healthcare | Medicare | $159.61 | ↓ -55% |
| Highmark Wholecare (prev Gateway) | Medicare | $161.09 | ↓ -54% |
| Cigna | Medicare | $161.10 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $161.10 | ↓ -54% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $161.10 | ↓ -54% |
| Cigna | Commercial | $236.00 | ↓ -33% |
| Aetna | EBR ASO | $236.00 | ↓ -33% |
| Cigna | EBR | $236.00 | ↓ -33% |
| Aetna | EBR FI | $289.10 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $294.69 | ↓ -17% |
| United Healthcare | Compass Exchange | $324.50 | ↓ -8% |
| UPMC Work Partners | Workers Comp | $336.54 | ↓ -5% |
| UPMC Health Plan | CHIP | $338.24 | ↓ -4% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $363.04 | ↑ +3% |
| Aetna | Neighborhood Network | $365.80 | ↑ +3% |
| Aetna | Home Depot Employer Group | $375.83 | ↑ +6% |
| Cigna | NBR ASO/FI | $383.50 | ↑ +8% |
| Aetna | NBR ASO/FI | $383.50 | ↑ +8% |
| United Healthcare | All Business | $383.50 | ↑ +8% |
| InterGroup | PPO | $383.50 | ↑ +8% |
| Cigna | New Business ASO | $383.50 | ↑ +8% |
| UPMC Health Plan | Commercial | $409.74 | ↑ +16% |
| Coventry/First Health | Commercial | $413.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $472.00 | ↑ +33% |
| Humana | Commercial | $531.00 | ↑ +50% |
| SelectCare | Commercial | $531.00 | ↑ +50% |
| Health Coalition Partners | Intergroup | $531.00 | ↑ +50% |
| Private Health Care Systems | PPO | $531.00 | ↑ +50% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Doppler upper/lower extremity arteries complete bilateral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $457.20 | $70.05 – $609.60 |
| UPMC Carlisle | Carlisle | $1,091.40 | $88.96 – $1,546.15 |
| UPMC Community Osteopathic | Harrisburg | $1,091.40 | $32.60 – $338.24 |
| UPMC East | Monroeville | $551.40 | $100.70 – $735.20 |
| UPMC Hamot | Erie | $291.00 | $100.70 – $382.89 |
| UPMC Northwest | Seneca | $425.40 | $100.70 – $386.31 |
| UPMC Hanover | Hanover | $1,091.40 | $88.96 – $801.00 |
| UPMC Horizon-Greenville | Greenville | $621.00 | $100.70 – $386.31 |