Fine needle aspiration biopsy w/us gdn; ea addtl 10006 at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$1,597.80
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.
$2,663.00
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.
$42.75 with United Healthcare Community Plan for Families vs $2,396.70 with SelectCare — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | Unison MedPLUS | $42.75 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $44.78 | ↓ -97% |
| United Healthcare Community Plan for Families | Unison Kids | $46.82 | ↓ -97% |
| Aetna | Medicaid | $50.89 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $56.58 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $60.37 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $61.39 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $63.55 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $69.38 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $73.09 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $102.22 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $125.92 | ↓ -92% |
| UPMC Health Plan | Commercial | $227.06 | ↓ -86% |
| UPMC Health Plan | CHIP | $307.05 | ↓ -81% |
| Aetna | Medicare | $665.75 | ↓ -58% |
| Cigna | EBR | $1,065.20 | ↓ -33% |
| Cigna | Commercial | $1,065.20 | ↓ -33% |
| Aetna | EBR ASO | $1,065.20 | ↓ -33% |
| Aetna | EBR FI | $1,304.87 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,331.50 | ↓ -17% |
| United Healthcare | Compass Exchange | $1,464.65 | ↓ -8% |
| Aetna | Neighborhood Network | $1,651.06 | ↑ +3% |
| Aetna | Home Depot Employer Group | $1,696.33 | ↑ +6% |
| Cigna | NBR ASO/FI | $1,730.95 | ↑ +8% |
| United Healthcare | All Business | $1,730.95 | ↑ +8% |
| Aetna | NBR ASO/FI | $1,730.95 | ↑ +8% |
| Cigna | New Business ASO | $1,730.95 | ↑ +8% |
| InterGroup | PPO | $1,730.95 | ↑ +8% |
| Coventry/First Health | Commercial | $1,864.10 | ↑ +17% |
| Preferred Healthcare System | PPO | $2,130.40 | ↑ +33% |
| Private Health Care Systems | PPO | $2,396.70 | ↑ +50% |
| Health Coalition Partners | Intergroup | $2,396.70 | ↑ +50% |
| Humana | Commercial | $2,396.70 | ↑ +50% |
| SelectCare | Commercial | $2,396.70 | ↑ +50% |
Visitor-reported prices
Comments
Fine needle aspiration biopsy w/us gdn; ea addtl 10006 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $559.20 | $36.86 – $745.60 |
| UPMC Carlisle | Carlisle | $1,152.60 | $51.70 – $9,539.00 |
| UPMC Cole | Coudersport | $87.60 | $40.47 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $1,152.60 | $53.33 – $1,632.85 |
| UPMC Hamot | Erie | $543.60 | $36.86 – $73.09 |
| UPMC Northwest | Seneca | $777.00 | $44.78 – $95.67 |
| UPMC Hanover | Hanover | $1,152.60 | $51.70 – $76.49 |
| UPMC Horizon-Greenville | Greenville | $741.00 | $42.75 – $73.09 |