Icd cobalt xt dr MRI is1 df1 at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$17,601.60
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.
$29,336.00
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.
$5,573.84 with Health Partners Plans (Jefferson Health Plan) vs $103,384.70 with UPMC Health Plan — 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $5,573.84 | ↓ -68% |
| Aetna | Medicare | $7,334.00 | ↓ -58% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $9,680.88 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $9,680.88 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $9,924.37 | ↓ -44% |
| Cigna | EBR | $11,734.40 | ↓ -33% |
| Cigna | Commercial | $11,734.40 | ↓ -33% |
| Aetna | EBR ASO | $11,734.40 | ↓ -33% |
| Aetna | EBR FI | $14,374.64 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $14,668.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicaid | $15,841.44 | ↓ -10% |
| United Healthcare | Compass Exchange | $16,134.80 | ↓ -8% |
| Aetna | Neighborhood Network | $18,188.32 | ↑ +3% |
| Aetna | Home Depot Employer Group | $18,687.03 | ↑ +6% |
| Cigna | NBR ASO/FI | $19,068.40 | ↑ +8% |
| United Healthcare | All Business | $19,068.40 | ↑ +8% |
| Aetna | NBR ASO/FI | $19,068.40 | ↑ +8% |
| Cigna | New Business ASO | $19,068.40 | ↑ +8% |
| InterGroup | PPO | $19,068.40 | ↑ +8% |
| Coventry/First Health | Commercial | $20,535.20 | ↑ +17% |
| Preferred Healthcare System | PPO | $23,468.80 | ↑ +33% |
| Private Health Care Systems | PPO | $26,402.40 | ↑ +50% |
| SelectCare | Commercial | $26,402.40 | ↑ +50% |
| Health Coalition Partners | Intergroup | $26,402.40 | ↑ +50% |
| Humana | Commercial | $26,402.40 | ↑ +50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $47,345.20 | ↑ +169% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $58,324.78 | ↑ +231% |
| UPMC Health Plan | CHIP | $85,343.66 | ↑ +385% |
| UPMC Health Plan | Commercial | $103,384.70 | ↑ +487% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Icd cobalt xt dr MRI is1 df1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $41,422.80 | $6,391.60 – $85,343.66 |
| UPMC Cole | Coudersport | $28,351.80 | $8,978.07 – $37,802.40 |
| UPMC Community Osteopathic | Harrisburg | $36,540.60 | $12,180.20 – $89,867.43 |
| UPMC East | Monroeville | $139,505.40 | $6,262.78 – $85,343.66 |
| UPMC Hamot | Erie | $117,676.80 | $17,072.82 – $17,072.82 |
| UPMC Memorial | York | $36,540.60 | $5,000.00 – $85,343.66 |
| UPMC Mercy | Pittsburgh | $49,471.80 | $17,072.82 – $67,391.01 |
| UPMC Passavant-McCandless | Pittsburgh | $96,952.20 | $17,235.39 – $123,844.32 |