Drng of eyelid abscess 67700 at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$7,035.00
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.
$11,725.00
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.
$102.82 with Aetna of PA vs $10,552.50 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $102.82 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $165.27 | ↓ -98% |
| UPMC Health Plan | Managed Medicare | $245.78 | ↓ -97% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $284.99 | ↓ -96% |
| Aetna | Medicare | $293.54 | ↓ -96% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $294.17 | ↓ -96% |
| United Healthcare | Medicare | $304.94 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $307.76 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $307.79 | ↓ -96% |
| Cigna | Medicare | $307.79 | ↓ -96% |
| AmeriHealth Caritas | Medicare | $307.79 | ↓ -96% |
| UPMC Health Plan | Commercial | $2,154.24 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $3,418.39 | ↓ -51% |
| UPMC Health Plan | CHIP | $3,905.78 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $4,211.13 | ↓ -40% |
| Aetna | EBR ASO | $4,690.00 | ↓ -33% |
| Cigna | Commercial | $4,690.00 | ↓ -33% |
| Cigna | EBR | $4,690.00 | ↓ -33% |
| Aetna | EBR FI | $5,745.25 | ↓ -18% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6,448.75 | ↓ -8% |
| United Healthcare | Compass Exchange | $6,448.75 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $6,448.75 | ↓ -8% |
| Aetna | Neighborhood Network | $7,269.50 | ↑ +3% |
| Aetna | Home Depot Employer Group | $7,468.82 | ↑ +6% |
| Cigna | New Business ASO | $7,621.25 | ↑ +8% |
| Aetna | NBR ASO/FI | $7,621.25 | ↑ +8% |
| Cigna | NBR ASO/FI | $7,621.25 | ↑ +8% |
| United Healthcare | All Business | $7,621.25 | ↑ +8% |
| InterGroup | PPO | $7,621.25 | ↑ +8% |
| Coventry/First Health | Commercial | $8,207.50 | ↑ +17% |
| Preferred Healthcare System | PPO | $9,380.00 | ↑ +33% |
| SelectCare | Commercial | $10,552.50 | ↑ +50% |
| Humana | Commercial | $10,552.50 | ↑ +50% |
| Private Health Care Systems | PPO | $10,552.50 | ↑ +50% |
| Health Coalition Partners | Intergroup | $10,552.50 | ↑ +50% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Drng of eyelid abscess 67700 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $770.40 | $157.28 – $1,091.40 |
| UPMC Community Osteopathic | Harrisburg | $770.40 | $174.91 – $3,905.78 |
| UPMC East | Monroeville | $5,161.80 | $173.94 – $6,882.40 |
| UPMC Hamot | Erie | $5,268.60 | $173.94 – $1,232.68 |
| UPMC Hanover | Hanover | $770.40 | $174.91 – $3,905.78 |
| UPMC Horizon-Greenville | Greenville | $4,148.40 | $167.13 – $534.78 |
| UPMC Jameson | New Castle | $1,363.20 | $167.13 – $1,254.43 |
| UPMC Lititz | Lititz | $770.40 | $172.95 – $3,905.78 |