Hla class ii high defin qual at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$838.20
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.
?
What you pay up front if you don't use insurance.
$1,397.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$117.55 with Aetna of PA vs $2,305.35 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $117.55 | ↓ -86% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $121.04 | ↓ -86% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $127.09 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $133.14 | ↓ -84% |
| United Healthcare Community Plan for Families | Unison Kids | $139.20 | ↓ -83% |
| Aetna | Medicaid | $151.30 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $168.23 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $179.50 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $188.96 | ↓ -77% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $206.28 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $280.97 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $321.99 | ↓ -62% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $325.80 | ↓ -61% |
| Aetna | Medicare | $335.57 | ↓ -60% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $336.29 | ↓ -60% |
| United Healthcare | Medicare | $348.61 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicare | $351.83 | ↓ -58% |
| Cigna | Medicare | $351.86 | ↓ -58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $351.86 | ↓ -58% |
| AmeriHealth Caritas | Medicare | $351.86 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $357.74 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $440.70 | ↓ -47% |
| Cigna | Commercial | $558.80 | ↓ -33% |
| Cigna | EBR | $558.80 | ↓ -33% |
| Aetna | EBR ASO | $558.80 | ↓ -33% |
| UPMC Health Plan | Commercial | $642.91 | ↓ -23% |
| Aetna | EBR FI | $684.53 | ↓ -18% |
| United Healthcare | Compass Exchange | $768.35 | ↓ -8% |
| Aetna | Neighborhood Network | $866.14 | ↑ +3% |
| Aetna | Home Depot Employer Group | $889.89 | ↑ +6% |
| Cigna | NBR ASO/FI | $908.05 | ↑ +8% |
| United Healthcare | All Business | $908.05 | ↑ +8% |
| InterGroup | PPO | $908.05 | ↑ +8% |
| Cigna | New Business ASO | $908.05 | ↑ +8% |
| Aetna | NBR ASO/FI | $908.05 | ↑ +8% |
| Coventry/First Health | Commercial | $977.90 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,117.60 | ↑ +33% |
| Humana | Commercial | $1,257.30 | ↑ +50% |
| Health Coalition Partners | Intergroup | $1,257.30 | ↑ +50% |
| SelectCare | Commercial | $1,257.30 | ↑ +50% |
| Private Health Care Systems | PPO | $1,257.30 | ↑ +50% |
| UPMC Health Plan | CHIP | $2,305.35 | ↑ +175% |
Visitor-reported prices
Comments
Hla class ii high defin qual at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $507.00 | $121.04 – $676.00 |
| UPMC Carlisle | Carlisle | $1,812.00 | $121.04 – $2,567.00 |
| UPMC Community Osteopathic | Harrisburg | $1,812.00 | $121.04 – $2,567.00 |
| UPMC East | Monroeville | $520.20 | $121.04 – $693.60 |
| UPMC Hamot | Erie | $469.20 | $121.04 – $351.86 |
| UPMC Northwest | Seneca | $409.20 | $133.14 – $342.09 |
| UPMC Hanover | Hanover | $1,812.00 | $121.04 – $521.28 |
| UPMC Horizon-Greenville | Greenville | $541.20 | $121.04 – $351.86 |