Icd crtp serena MRI at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$13,146.00
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.
$21,910.00
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.
$3,912.29 with Health Partners Plans (Jefferson Health Plan) vs $39,933.25 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 | $3,912.29 | ↓ -70% |
| Aetna | Medicare | $5,147.75 | ↓ -61% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6,795.03 | ↓ -48% |
| Geisinger | Medicaid/CHIP | $6,795.03 | ↓ -48% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6,965.94 | ↓ -47% |
| Cigna | EBR | $8,236.40 | ↓ -37% |
| Cigna | Commercial | $8,236.40 | ↓ -37% |
| Aetna | EBR ASO | $8,236.40 | ↓ -37% |
| Aetna | EBR FI | $10,089.59 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $10,295.50 | ↓ -22% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11,119.14 | ↓ -15% |
| United Healthcare | Compass Exchange | $11,325.05 | ↓ -14% |
| Aetna | Neighborhood Network | $12,766.42 | ↓ -3% |
| Aetna | Home Depot Employer Group | $13,116.47 | ↓ -0% |
| Cigna | NBR ASO/FI | $13,384.15 | ↑ +2% |
| United Healthcare | All Business | $13,384.15 | ↑ +2% |
| Aetna | NBR ASO/FI | $13,384.15 | ↑ +2% |
| Cigna | New Business ASO | $13,384.15 | ↑ +2% |
| InterGroup | PPO | $13,384.15 | ↑ +2% |
| Coventry/First Health | Commercial | $14,413.70 | ↑ +10% |
| Preferred Healthcare System | PPO | $16,472.80 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $17,033.91 | ↑ +30% |
| Private Health Care Systems | PPO | $18,531.90 | ↑ +41% |
| SelectCare | Commercial | $18,531.90 | ↑ +41% |
| Health Coalition Partners | Intergroup | $18,531.90 | ↑ +41% |
| Humana | Commercial | $18,531.90 | ↑ +41% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $20,984.16 | ↑ +60% |
| UPMC Health Plan | CHIP | $32,964.74 | ↑ +151% |
| UPMC Health Plan | Commercial | $39,933.25 | ↑ +204% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Icd crtp serena MRI at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $24,591.00 | $3,865.36 – $32,964.74 |
| UPMC Cole | Coudersport | $5,940.00 | $1,881.00 – $7,920.00 |
| UPMC Community Osteopathic | Harrisburg | $24,360.60 | $8,120.20 – $34,510.85 |
| UPMC East | Monroeville | $47,350.20 | $6,200.97 – $63,133.60 |
| UPMC Hamot | Erie | $34,519.80 | $6,142.48 – $6,142.48 |
| UPMC Memorial | York | $24,360.60 | $3,640.47 – $32,964.74 |
| UPMC Mercy | Pittsburgh | $30,396.60 | $6,142.48 – $26,030.37 |
| UPMC Passavant-McCandless | Pittsburgh | $39,481.20 | $6,200.97 – $47,835.95 |