Immune complex assay at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$338.40
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.
$564.00
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.
$8.79 with Aetna of PA vs $507.60 with Humana — 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 | $8.79 | ↓ -97% |
| UPMC Health Plan | Managed Medicare | $21.02 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $24.09 | ↓ -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 | $24.37 | ↓ -93% |
| Aetna | Medicare | $25.10 | ↓ -93% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $25.15 | ↓ -93% |
| United Healthcare | Medicare | $26.08 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $26.32 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $26.32 | ↓ -92% |
| Cigna | Medicare | $26.32 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $26.32 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $30.00 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $31.50 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $33.00 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison Kids | $34.50 | ↓ -90% |
| UPMC Health Plan | Commercial | $35.64 | ↓ -89% |
| Aetna | Medicaid | $37.50 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $41.70 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $44.49 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $46.83 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $51.13 | ↓ -85% |
| UPMC Health Plan | CHIP | $127.79 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $130.62 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $160.91 | ↓ -52% |
| Aetna | EBR ASO | $225.60 | ↓ -33% |
| Cigna | EBR | $225.60 | ↓ -33% |
| Cigna | Commercial | $225.60 | ↓ -33% |
| Aetna | EBR FI | $276.36 | ↓ -18% |
| United Healthcare | Compass Exchange | $310.20 | ↓ -8% |
| Aetna | Neighborhood Network | $349.68 | ↑ +3% |
| Aetna | Home Depot Employer Group | $359.27 | ↑ +6% |
| Cigna | NBR ASO/FI | $366.60 | ↑ +8% |
| Aetna | NBR ASO/FI | $366.60 | ↑ +8% |
| United Healthcare | All Business | $366.60 | ↑ +8% |
| InterGroup | PPO | $366.60 | ↑ +8% |
| Cigna | New Business ASO | $366.60 | ↑ +8% |
| Coventry/First Health | Commercial | $394.80 | ↑ +17% |
| Preferred Healthcare System | PPO | $451.20 | ↑ +33% |
| Health Coalition Partners | Intergroup | $507.60 | ↑ +50% |
| SelectCare | Commercial | $507.60 | ↑ +50% |
| Private Health Care Systems | PPO | $507.60 | ↑ +50% |
| Humana | Commercial | $507.60 | ↑ +50% |
Visitor-reported prices
Comments
Immune complex assay at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $243.00 | $24.09 – $324.00 |
| UPMC Carlisle | Carlisle | $88.80 | $17.75 – $125.80 |
| UPMC Cole | Coudersport | $178.20 | $15.84 – $237.60 |
| UPMC Community Osteopathic | Harrisburg | $88.80 | $24.13 – $127.79 |
| UPMC East | Monroeville | $306.00 | $24.09 – $408.00 |
| UPMC Hamot | Erie | $274.80 | $24.09 – $47.10 |
| UPMC Northwest | Seneca | $289.20 | $22.10 – $34.50 |
| UPMC Hanover | Hanover | $88.80 | $17.75 – $40.86 |