Inj retro urethrocysto at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
not published by hospital
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.
not published by hospital
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.
$36.23 with United Healthcare Community Plan for Families vs $1,861.98 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | Unison MedPLUS | $36.23 | — |
| UPMC Health Plan | Managed Medicaid | $37.95 | — |
| United Healthcare Community Plan for Families | Unison Kids | $39.67 | — |
| Aetna | Medicaid | $43.12 | — |
| Geisinger | Medicaid/CHIP | $47.95 | — |
| Highmark Wholecare (prev Gateway) | Medicaid | $51.16 | — |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $52.03 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $53.86 | — |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $58.79 | — |
| UPMC Work Partners | Workers Comp | $142.23 | — |
| UPMC Health Plan | Commercial | $1,279.38 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,511.46 | — |
| UPMC Health Plan | CHIP | $1,730.06 | — |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,861.98 | — |
Visitor-reported prices
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Inj retro urethrocysto at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $504.00 | $43.81 – $9,539.00 |
| UPMC Cole | Coudersport | $105.60 | $36.23 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $504.00 | $45.20 – $2,249.82 |
| UPMC Hamot | Erie | $2,334.00 | $37.95 – $545.04 |
| UPMC Northwest | Seneca | $3,582.00 | $37.95 – $1,414.58 |
| UPMC Hanover | Hanover | $504.00 | $43.81 – $149.55 |
| UPMC Jameson | New Castle | $604.20 | $37.95 – $554.65 |
| UPMC Lititz | Lititz | $504.00 | $43.81 – $148.84 |