Herpes simplex virus isolation at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$239.40
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.
$399.00
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.
$12.22 with Aetna of PA vs $359.10 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $12.22 | ↓ -95% |
| UPMC Health Plan | Commercial | $19.58 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $29.20 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $33.46 | ↓ -86% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $33.86 | ↓ -86% |
| Aetna | Medicare | $34.88 | ↓ -85% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $34.95 | ↓ -85% |
| United Healthcare | Medicare | $36.23 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $36.57 | ↓ -85% |
| Cigna | Medicare | $36.57 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $36.57 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $36.57 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $37.85 | ↓ -84% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $39.74 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $41.63 | ↓ -83% |
| United Healthcare Community Plan for Families | Unison Kids | $43.53 | ↓ -82% |
| Aetna | Medicaid | $47.31 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $52.61 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $56.13 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $59.09 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $64.50 | ↓ -73% |
| UPMC Health Plan | CHIP | $70.22 | ↓ -71% |
| Cigna | Commercial | $159.60 | ↓ -33% |
| Aetna | EBR ASO | $159.60 | ↓ -33% |
| Cigna | EBR | $159.60 | ↓ -33% |
| Aetna | EBR FI | $195.51 | ↓ -18% |
| United Healthcare | Compass Exchange | $219.45 | ↓ -8% |
| Aetna | Neighborhood Network | $247.38 | ↑ +3% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $252.01 | ↑ +5% |
| Aetna | Home Depot Employer Group | $254.16 | ↑ +6% |
| Cigna | New Business ASO | $259.35 | ↑ +8% |
| Aetna | NBR ASO/FI | $259.35 | ↑ +8% |
| Cigna | NBR ASO/FI | $259.35 | ↑ +8% |
| United Healthcare | All Business | $259.35 | ↑ +8% |
| InterGroup | PPO | $259.35 | ↑ +8% |
| Coventry/First Health | Commercial | $279.30 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $310.46 | ↑ +30% |
| Preferred Healthcare System | PPO | $319.20 | ↑ +33% |
| Health Coalition Partners | Intergroup | $359.10 | ↑ +50% |
| Humana | Commercial | $359.10 | ↑ +50% |
| Private Health Care Systems | PPO | $359.10 | ↑ +50% |
| SelectCare | Commercial | $359.10 | ↑ +50% |
Visitor-reported prices
Comments
Herpes simplex virus isolation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $447.60 | $33.46 – $596.80 |
| UPMC Carlisle | Carlisle | $189.00 | $28.98 – $242.25 |
| UPMC Cole | Coudersport | $312.00 | $22.01 – $416.00 |
| UPMC Community Osteopathic | Harrisburg | $189.00 | $33.52 – $242.25 |
| UPMC East | Monroeville | $362.40 | $19.32 – $483.20 |
| UPMC Hamot | Erie | $573.60 | $33.46 – $90.88 |
| UPMC Northwest | Seneca | $186.60 | $19.50 – $43.53 |
| UPMC Hanover | Hanover | $189.00 | $28.98 – $54.18 |