Ghs musc test done w/n test comp at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$254.40
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.
$424.00
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.
$69.60 with United Healthcare Community Plan for Families vs $381.60 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 | $69.60 | ↓ -73% |
| UPMC Health Plan | Managed Medicaid | $72.92 | ↓ -71% |
| United Healthcare Community Plan for Families | Unison Kids | $76.23 | ↓ -70% |
| Aetna | Medicaid | $82.86 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $92.14 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicaid | $98.31 | ↓ -61% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $99.97 | ↓ -61% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $103.49 | ↓ -59% |
| Aetna | Medicare | $106.00 | ↓ -58% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $112.97 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $122.20 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $129.74 | ↓ -49% |
| UPMC Health Plan | CHIP | $153.44 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $159.83 | ↓ -37% |
| Cigna | EBR | $169.60 | ↓ -33% |
| Cigna | Commercial | $169.60 | ↓ -33% |
| Aetna | EBR ASO | $169.60 | ↓ -33% |
| UPMC Health Plan | Commercial | $185.88 | ↓ -27% |
| Aetna | EBR FI | $207.76 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $212.00 | ↓ -17% |
| United Healthcare | Compass Exchange | $233.20 | ↓ -8% |
| Aetna | Neighborhood Network | $262.88 | ↑ +3% |
| Aetna | Home Depot Employer Group | $270.09 | ↑ +6% |
| Cigna | NBR ASO/FI | $275.60 | ↑ +8% |
| United Healthcare | All Business | $275.60 | ↑ +8% |
| Aetna | NBR ASO/FI | $275.60 | ↑ +8% |
| Cigna | New Business ASO | $275.60 | ↑ +8% |
| InterGroup | PPO | $275.60 | ↑ +8% |
| Coventry/First Health | Commercial | $296.80 | ↑ +17% |
| Preferred Healthcare System | PPO | $339.20 | ↑ +33% |
| Private Health Care Systems | PPO | $381.60 | ↑ +50% |
| Health Coalition Partners | Intergroup | $381.60 | ↑ +50% |
| Humana | Commercial | $381.60 | ↑ +50% |
| SelectCare | Commercial | $381.60 | ↑ +50% |
Visitor-reported prices
Comments
Ghs musc test done w/n test comp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $278.40 | $29.39 – $371.20 |
| UPMC Cole | Coudersport | $104.40 | $21.62 – $122.20 |
| UPMC East | Monroeville | $312.00 | $47.23 – $416.00 |
| UPMC Northwest | Seneca | $274.80 | $72.92 – $122.20 |
| UPMC Hanover | Hanover | $349.80 | $38.50 – $319.00 |
| UPMC Horizon-Greenville | Greenville | $259.20 | $69.60 – $122.20 |
| UPMC Jameson | New Castle | $357.60 | $33.80 – $122.20 |
| UPMC Magee | Pittsburgh | $310.20 | $47.23 – $122.20 |