Injection carpal tunnel therapeutic (both sides) at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$621.00
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.
$1,035.00
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.
$52.27 with United Healthcare Community Plan for Families vs $931.50 with Health Coalition Partners — 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 | $52.27 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $54.76 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison Kids | $57.25 | ↓ -91% |
| Aetna | Medicaid | $62.23 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $69.19 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $73.82 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $75.07 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $77.71 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $84.84 | ↓ -86% |
| Aetna of PA | Medicare | $101.54 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $116.19 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $242.71 | ↓ -61% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $281.43 | ↓ -55% |
| Aetna | Medicare | $289.87 | ↓ -53% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $290.49 | ↓ -53% |
| UPMC Health Plan | Commercial | $300.10 | ↓ -52% |
| United Healthcare | Medicare | $301.13 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $303.92 | ↓ -51% |
| AmeriHealth Caritas | Medicare | $303.94 | ↓ -51% |
| Cigna | Medicare | $303.94 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $303.94 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $376.09 | ↓ -39% |
| Cigna | EBR | $414.00 | ↓ -33% |
| Aetna | EBR ASO | $414.00 | ↓ -33% |
| Cigna | Commercial | $414.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $463.30 | ↓ -25% |
| Aetna | EBR FI | $507.15 | ↓ -18% |
| UPMC Health Plan | CHIP | $544.10 | ↓ -12% |
| United Healthcare | Compass Exchange | $569.25 | ↓ -8% |
| Aetna | Neighborhood Network | $641.70 | ↑ +3% |
| Aetna | Home Depot Employer Group | $659.29 | ↑ +6% |
| Aetna | NBR ASO/FI | $672.75 | ↑ +8% |
| United Healthcare | All Business | $672.75 | ↑ +8% |
| InterGroup | PPO | $672.75 | ↑ +8% |
| Cigna | New Business ASO | $672.75 | ↑ +8% |
| Cigna | NBR ASO/FI | $672.75 | ↑ +8% |
| Coventry/First Health | Commercial | $724.50 | ↑ +17% |
| Preferred Healthcare System | PPO | $828.00 | ↑ +33% |
| Humana | Commercial | $931.50 | ↑ +50% |
| SelectCare | Commercial | $931.50 | ↑ +50% |
| Private Health Care Systems | PPO | $931.50 | ↑ +50% |
| Health Coalition Partners | Intergroup | $931.50 | ↑ +50% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection carpal tunnel therapeutic (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $293.40 | $49.78 – $391.20 |
| UPMC Carlisle | Carlisle | $596.40 | $63.22 – $844.90 |
| UPMC Cole | Coudersport | $86.40 | $18.57 – $116.19 |
| UPMC Community Osteopathic | Harrisburg | $596.40 | $63.22 – $844.90 |
| UPMC Hanover | Hanover | $596.40 | $63.22 – $451.20 |
| UPMC Kane | Kane | $471.60 | $54.76 – $344.20 |
| UPMC Lititz | Lititz | $596.40 | $63.22 – $453.63 |
| UPMC Magee | Pittsburgh | $642.00 | $54.76 – $303.94 |