Ghs sleep study unattended at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$90.00
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.
$150.00
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 $897.33 with Highmark BCBS of PA — 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 | ↓ -40% |
| Cigna | Commercial | $60.00 | ↓ -33% |
| Cigna | EBR | $60.00 | ↓ -33% |
| Aetna | EBR ASO | $60.00 | ↓ -33% |
| Aetna | EBR FI | $73.50 | ↓ -18% |
| United Healthcare | Compass Exchange | $82.50 | ↓ -8% |
| Aetna | Neighborhood Network | $93.00 | ↑ +3% |
| Aetna | Home Depot Employer Group | $95.55 | ↑ +6% |
| InterGroup | PPO | $97.50 | ↑ +8% |
| United Healthcare | All Business | $97.50 | ↑ +8% |
| Aetna | NBR ASO/FI | $97.50 | ↑ +8% |
| Cigna | New Business ASO | $97.50 | ↑ +8% |
| Cigna | NBR ASO/FI | $97.50 | ↑ +8% |
| Coventry/First Health | Commercial | $105.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $120.00 | ↑ +33% |
| UPMC Health Plan | Managed Medicare | $128.64 | ↑ +43% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $130.84 | ↑ +45% |
| Humana | Commercial | $135.00 | ↑ +50% |
| Private Health Care Systems | PPO | $135.00 | ↑ +50% |
| Health Coalition Partners | Intergroup | $135.00 | ↑ +50% |
| SelectCare | Commercial | $135.00 | ↑ +50% |
| UPMC Health Plan | Managed Medicaid | $137.07 | ↑ +52% |
| United Healthcare Community Plan for Families | Unison Kids | $143.30 | ↑ +59% |
| 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 | ↑ +66% |
| Aetna | Medicare | $153.65 | ↑ +71% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $153.97 | ↑ +71% |
| Aetna | Medicaid | $155.76 | ↑ +73% |
| United Healthcare | Medicare | $159.61 | ↑ +77% |
| Highmark Wholecare (prev Gateway) | Medicare | $161.09 | ↑ +79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $161.10 | ↑ +79% |
| AmeriHealth Caritas | Medicare | $161.10 | ↑ +79% |
| Cigna | Medicare | $161.10 | ↑ +79% |
| Geisinger | Medicaid/CHIP | $173.20 | ↑ +92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $184.80 | ↑ +105% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $187.91 | ↑ +109% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $194.53 | ↑ +116% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $212.36 | ↑ +136% |
| UPMC Work Partners | Workers Comp | $303.16 | ↑ +237% |
| UPMC Health Plan | CHIP | $563.02 | ↑ +526% |
| UPMC Health Plan | Commercial | $682.04 | ↑ +658% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $728.41 | ↑ +709% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $897.33 | ↑ +897% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs sleep study unattended at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,899.00 | $75.00 – $303.16 |
| UPMC Carlisle | Carlisle | $513.00 | $117.14 – $726.75 |
| UPMC Hamot | Erie | $1,442.40 | $98.61 – $303.16 |
| UPMC Hanover | Hanover | $513.00 | $120.56 – $317.26 |
| UPMC Horizon-Greenville | Greenville | $95.40 | $133.55 – $303.16 |
| UPMC Jameson | New Castle | $95.40 | $105.83 – $303.16 |
| UPMC Kane | Kane | $241.20 | $137.07 – $444.76 |
| UPMC Lititz | Lititz | $513.00 | $120.56 – $317.26 |