Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$468.60
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.
$781.00
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.
$27.70 with Aetna of PA vs $220.50 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 | $27.70 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $66.21 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $74.61 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $74.90 | ↓ -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 | $76.77 | ↓ -84% |
| Aetna | Medicare | $79.07 | ↓ -83% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $79.24 | ↓ -83% |
| United Healthcare | Medicare | $82.14 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $82.90 | ↓ -82% |
| AmeriHealth Caritas | Medicare | $82.91 | ↓ -82% |
| Cigna | Medicare | $82.91 | ↓ -82% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $82.91 | ↓ -82% |
| UPMC Health Plan | CHIP | $85.75 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $92.27 | ↓ -80% |
| Cigna | Commercial | $98.00 | ↓ -79% |
| Cigna | EBR | $98.00 | ↓ -79% |
| Aetna | EBR ASO | $98.00 | ↓ -79% |
| Aetna | EBR FI | $120.05 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $134.75 | ↓ -71% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $134.75 | ↓ -71% |
| United Healthcare | Compass Exchange | $134.75 | ↓ -71% |
| Aetna | Neighborhood Network | $151.90 | ↓ -68% |
| Aetna | Home Depot Employer Group | $156.06 | ↓ -67% |
| Cigna | NBR ASO/FI | $159.25 | ↓ -66% |
| United Healthcare | All Business | $159.25 | ↓ -66% |
| Aetna | NBR ASO/FI | $159.25 | ↓ -66% |
| Cigna | New Business ASO | $159.25 | ↓ -66% |
| InterGroup | PPO | $159.25 | ↓ -66% |
| Coventry/First Health | Commercial | $171.50 | ↓ -63% |
| UPMC Health Plan | Commercial | $174.44 | ↓ -63% |
| Preferred Healthcare System | PPO | $196.00 | ↓ -58% |
| SelectCare | Commercial | $220.50 | ↓ -53% |
| Health Coalition Partners | Intergroup | $220.50 | ↓ -53% |
| Private Health Care Systems | PPO | $220.50 | ↓ -53% |
| Humana | Commercial | $220.50 | ↓ -53% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $145.80 | $27.01 – $194.40 |
| UPMC East | Monroeville | $147.00 | $47.40 – $196.00 |
| UPMC Hamot | Erie | $147.00 | $74.61 – $82.91 |
| UPMC Northwest | Seneca | $147.00 | $69.62 – $82.91 |
| UPMC Horizon-Greenville | Greenville | $147.00 | $43.67 – $82.91 |
| UPMC Jameson | New Castle | $147.00 | $74.61 – $82.91 |
| UPMC Magee | Pittsburgh | $304.80 | $43.34 – $84.45 |
| UPMC McKeesport | Mckeesport | $147.00 | $27.27 – $84.45 |