Ghs cl tx metacarpophal disloc without anes at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$628.80
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.
$1,048.00
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.
$40.95 with United Healthcare Community Plan for Families vs $943.20 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | Unison MedPLUS | $40.95 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $42.90 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison Kids | $44.85 | ↓ -93% |
| Aetna | Medicaid | $48.75 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $54.21 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $57.84 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $58.81 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $60.88 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $66.46 | ↓ -89% |
| Aetna of PA | Medicare | $82.51 | ↓ -87% |
| UPMC Health Plan | Commercial | $166.48 | ↓ -74% |
| UPMC Health Plan | Managed Medicare | $197.23 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $228.70 | ↓ -64% |
| Aetna | Medicare | $235.56 | ↓ -63% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $236.06 | ↓ -62% |
| United Healthcare | Medicare | $244.71 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $246.97 | ↓ -61% |
| AmeriHealth Caritas | Medicare | $247.00 | ↓ -61% |
| Cigna | Medicare | $247.00 | ↓ -61% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $247.00 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $257.74 | ↓ -59% |
| UPMC Work Partners | Workers Comp | $300.58 | ↓ -52% |
| UPMC Health Plan | CHIP | $301.84 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $317.50 | ↓ -50% |
| Cigna | EBR | $419.20 | ↓ -33% |
| Cigna | Commercial | $419.20 | ↓ -33% |
| Aetna | EBR ASO | $419.20 | ↓ -33% |
| Aetna | EBR FI | $513.52 | ↓ -18% |
| United Healthcare | Compass Exchange | $576.40 | ↓ -8% |
| Aetna | Neighborhood Network | $649.76 | ↑ +3% |
| Aetna | Home Depot Employer Group | $667.58 | ↑ +6% |
| Aetna | NBR ASO/FI | $681.20 | ↑ +8% |
| United Healthcare | All Business | $681.20 | ↑ +8% |
| InterGroup | PPO | $681.20 | ↑ +8% |
| Cigna | New Business ASO | $681.20 | ↑ +8% |
| Cigna | NBR ASO/FI | $681.20 | ↑ +8% |
| Coventry/First Health | Commercial | $733.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $838.40 | ↑ +33% |
| Humana | Commercial | $943.20 | ↑ +50% |
| SelectCare | Commercial | $943.20 | ↑ +50% |
| Private Health Care Systems | PPO | $943.20 | ↑ +50% |
| Health Coalition Partners | Intergroup | $943.20 | ↑ +50% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ghs cl tx metacarpophal disloc without anes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $408.60 | $39.00 – $544.80 |
| UPMC Carlisle | Carlisle | $370.80 | $49.53 – $525.30 |
| UPMC Cole | Coudersport | $1,023.60 | $40.95 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $370.80 | $49.53 – $525.30 |
| UPMC East | Monroeville | $388.80 | $42.90 – $518.40 |
| UPMC Hamot | Erie | $407.40 | $42.90 – $372.59 |
| UPMC Northwest | Seneca | $590.40 | $42.90 – $321.45 |
| UPMC Hanover | Hanover | $370.80 | $49.53 – $366.66 |