Human epididymis protein 4 (he4) at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$295.80
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.
?
What you pay up front if you don't use insurance.
$493.00
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.
$7.51 with Aetna of PA vs $443.70 with Humana — 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 | $7.51 | ↓ -97% |
| UPMC Health Plan | Managed Medicare | $17.95 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $20.57 | ↓ -93% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $20.81 | ↓ -93% |
| Aetna | Medicare | $21.43 | ↓ -93% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $21.48 | ↓ -93% |
| United Healthcare | Medicare | $22.27 | ↓ -92% |
| Cigna | Medicare | $22.47 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $22.47 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $22.47 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $22.47 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $23.85 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $25.04 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $26.23 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison Kids | $27.43 | ↓ -91% |
| Aetna | Medicaid | $29.81 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $33.15 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $35.37 | ↓ -88% |
| UPMC Health Plan | Commercial | $36.09 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $37.23 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $40.65 | ↓ -86% |
| UPMC Health Plan | CHIP | $129.42 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $153.66 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $189.30 | ↓ -36% |
| Aetna | EBR ASO | $197.20 | ↓ -33% |
| Cigna | EBR | $197.20 | ↓ -33% |
| Cigna | Commercial | $197.20 | ↓ -33% |
| Aetna | EBR FI | $241.57 | ↓ -18% |
| United Healthcare | Compass Exchange | $271.15 | ↓ -8% |
| Aetna | Neighborhood Network | $305.66 | ↑ +3% |
| Aetna | Home Depot Employer Group | $314.04 | ↑ +6% |
| Cigna | NBR ASO/FI | $320.45 | ↑ +8% |
| Aetna | NBR ASO/FI | $320.45 | ↑ +8% |
| United Healthcare | All Business | $320.45 | ↑ +8% |
| InterGroup | PPO | $320.45 | ↑ +8% |
| Cigna | New Business ASO | $320.45 | ↑ +8% |
| Coventry/First Health | Commercial | $345.10 | ↑ +17% |
| Preferred Healthcare System | PPO | $394.40 | ↑ +33% |
| Health Coalition Partners | Intergroup | $443.70 | ↑ +50% |
| SelectCare | Commercial | $443.70 | ↑ +50% |
| Private Health Care Systems | PPO | $443.70 | ↑ +50% |
| Humana | Commercial | $443.70 | ↑ +50% |
Visitor-reported prices
Comments
Human epididymis protein 4 (he4) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $276.00 | $20.57 – $368.00 |
| UPMC Northwest | Seneca | $345.60 | $18.87 – $27.43 |
| UPMC Kane | Kane | $91.20 | $20.57 – $89.82 |
| UPMC Magee | Pittsburgh | $176.40 | $19.48 – $55.94 |
| UPMC Mercy | Pittsburgh | $168.00 | $17.35 – $55.41 |
| UPMC Muncy | Muncy | $166.20 | $20.57 – $40.65 |
| UPMC Passavant-McCandless | Pittsburgh | $204.00 | $19.34 – $55.94 |
| UPMC Presbyterian | Pittsburgh | $180.60 | $20.57 – $55.94 |