Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$580.80
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.
$968.00
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.
$13.45 with Aetna of PA vs $871.20 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 | $13.45 | ↓ -98% |
| UPMC Health Plan | Managed Medicare | $32.14 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $36.84 | ↓ -94% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $37.27 | ↓ -94% |
| Aetna | Medicare | $38.39 | ↓ -93% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $38.47 | ↓ -93% |
| United Healthcare | Medicare | $39.88 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $40.22 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $40.25 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $40.25 | ↓ -93% |
| Cigna | Medicare | $40.25 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $40.25 | ↓ -93% |
| UPMC Health Plan | Commercial | $41.42 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $42.23 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $44.24 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison Kids | $46.25 | ↓ -92% |
| Aetna | Medicaid | $50.27 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $55.90 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $59.65 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $62.79 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $68.54 | ↓ -88% |
| UPMC Health Plan | CHIP | $148.51 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $259.13 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $319.22 | ↓ -45% |
| Aetna | EBR ASO | $387.20 | ↓ -33% |
| Cigna | EBR | $387.20 | ↓ -33% |
| Cigna | Commercial | $387.20 | ↓ -33% |
| Aetna | EBR FI | $474.32 | ↓ -18% |
| United Healthcare | Compass Exchange | $532.40 | ↓ -8% |
| Aetna | Neighborhood Network | $600.16 | ↑ +3% |
| Aetna | Home Depot Employer Group | $616.62 | ↑ +6% |
| Cigna | NBR ASO/FI | $629.20 | ↑ +8% |
| Aetna | NBR ASO/FI | $629.20 | ↑ +8% |
| United Healthcare | All Business | $629.20 | ↑ +8% |
| InterGroup | PPO | $629.20 | ↑ +8% |
| Cigna | New Business ASO | $629.20 | ↑ +8% |
| Coventry/First Health | Commercial | $677.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $774.40 | ↑ +33% |
| Health Coalition Partners | Intergroup | $871.20 | ↑ +50% |
| SelectCare | Commercial | $871.20 | ↑ +50% |
| Private Health Care Systems | PPO | $871.20 | ↑ +50% |
| Humana | Commercial | $871.20 | ↑ +50% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $349.80 | $36.84 – $466.40 |
| UPMC Carlisle | Carlisle | $207.60 | $36.90 – $294.10 |
| UPMC Cole | Coudersport | $163.80 | $24.23 – $218.40 |
| UPMC Community Osteopathic | Harrisburg | $207.60 | $36.90 – $294.10 |
| UPMC East | Monroeville | $350.40 | $36.84 – $467.20 |
| UPMC Hamot | Erie | $293.40 | $36.84 – $93.44 |
| UPMC Northwest | Seneca | $547.80 | $33.80 – $46.25 |
| UPMC Hanover | Hanover | $207.60 | $36.90 – $59.63 |