Infect ag ia optc obs influenza at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$102.60
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.
$171.00
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.
$5.97 with Aetna of PA vs $153.90 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 | $5.97 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $11.35 | ↓ -89% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $11.92 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $12.48 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison Kids | $13.05 | ↓ -87% |
| Aetna | Medicaid | $14.19 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $14.27 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $15.78 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $16.36 | ↓ -84% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $16.55 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $16.83 | ↓ -84% |
| Aetna | Medicare | $17.05 | ↓ -83% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $17.08 | ↓ -83% |
| United Healthcare | Medicare | $17.71 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $17.72 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $17.87 | ↓ -83% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $17.87 | ↓ -83% |
| AmeriHealth Caritas | Medicare | $17.87 | ↓ -83% |
| Cigna | Medicare | $17.87 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $19.34 | ↓ -81% |
| UPMC Health Plan | Commercial | $19.52 | ↓ -81% |
| Aetna | EBR ASO | $68.40 | ↓ -33% |
| Cigna | Commercial | $68.40 | ↓ -33% |
| Cigna | EBR | $68.40 | ↓ -33% |
| UPMC Health Plan | CHIP | $70.00 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $81.08 | ↓ -21% |
| Aetna | EBR FI | $83.79 | ↓ -18% |
| United Healthcare | Compass Exchange | $94.05 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $99.89 | ↓ -3% |
| Aetna | Neighborhood Network | $106.02 | ↑ +3% |
| Aetna | Home Depot Employer Group | $108.93 | ↑ +6% |
| United Healthcare | All Business | $111.15 | ↑ +8% |
| InterGroup | PPO | $111.15 | ↑ +8% |
| Cigna | NBR ASO/FI | $111.15 | ↑ +8% |
| Aetna | NBR ASO/FI | $111.15 | ↑ +8% |
| Cigna | New Business ASO | $111.15 | ↑ +8% |
| Coventry/First Health | Commercial | $119.70 | ↑ +17% |
| Preferred Healthcare System | PPO | $136.80 | ↑ +33% |
| SelectCare | Commercial | $153.90 | ↑ +50% |
| Private Health Care Systems | PPO | $153.90 | ↑ +50% |
| Health Coalition Partners | Intergroup | $153.90 | ↑ +50% |
| Humana | Commercial | $153.90 | ↑ +50% |
Visitor-reported prices
Comments
Infect ag ia optc obs influenza at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $53.40 | $10.76 – $71.20 |
| UPMC Muncy | Muncy | $379.20 | $12.48 – $19.34 |
| UPMC Wellsboro | Wellsboro | $458.40 | $11.35 – $19.34 |
| UPMC Williamsport | Williamsport | $13.20 | $12.48 – $18.07 |
| Uniontown Hospital | Uniontown | $358.00 | $12.49 – $34.37 |