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Ins tun cvad 2 cath w/subq port(s) at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$6,166.80
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.
$10,278.00
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.
$828.91 with UPMC Health Plan vs $9,250.20 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $828.91 | ↓ -87% |
| UPMC Health Plan | CHIP | $1,502.87 | ↓ -76% |
| Aetna of PA | Medicare | $1,859.45 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $2,004.57 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $2,482.04 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $3,057.64 | ↓ -50% |
| Aetna | EBR ASO | $4,111.20 | ↓ -33% |
| Cigna | Commercial | $4,111.20 | ↓ -33% |
| Cigna | EBR | $4,111.20 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $4,444.54 | ↓ -28% |
| Aetna | EBR FI | $5,036.22 | ↓ -18% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $5,153.69 | ↓ -16% |
| Aetna | Medicare | $5,308.30 | ↓ -14% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $5,319.64 | ↓ -14% |
| United Healthcare | Medicare | $5,514.45 | ↓ -11% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,565.47 | ↓ -10% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,565.99 | ↓ -10% |
| Cigna | Medicare | $5,565.99 | ↓ -10% |
| AmeriHealth Caritas | Medicare | $5,565.99 | ↓ -10% |
| United Healthcare | Compass Exchange | $5,652.90 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $5,652.90 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $5,652.90 | ↓ -8% |
| Aetna | Neighborhood Network | $6,372.36 | ↑ +3% |
| Aetna | Home Depot Employer Group | $6,547.09 | ↑ +6% |
| Aetna | NBR ASO/FI | $6,680.70 | ↑ +8% |
| InterGroup | PPO | $6,680.70 | ↑ +8% |
| Cigna | New Business ASO | $6,680.70 | ↑ +8% |
| Cigna | NBR ASO/FI | $6,680.70 | ↑ +8% |
| United Healthcare | All Business | $6,680.70 | ↑ +8% |
| Coventry/First Health | Commercial | $7,194.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $8,222.40 | ↑ +33% |
| SelectCare | Commercial | $9,250.20 | ↑ +50% |
| Private Health Care Systems | PPO | $9,250.20 | ↑ +50% |
| Humana | Commercial | $9,250.20 | ↑ +50% |
| Health Coalition Partners | Intergroup | $9,250.20 | ↑ +50% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ins tun cvad 2 cath w/subq port(s) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,547.00 | $895.03 – $7,396.00 |
| UPMC Northwest | Seneca | $5,882.40 | $709.95 – $8,333.40 |
| UPMC Mercy | Pittsburgh | $2,997.00 | $681.00 – $5,565.99 |
| UPMC Passavant-McCandless | Pittsburgh | $3,352.80 | $679.30 – $5,669.06 |
| UPMC Presbyterian | Pittsburgh | $12,849.60 | $571.76 – $18,203.60 |
| UPMC Wellsboro | Wellsboro | $5,640.60 | $993.28 – $8,460.90 |
| UPMC Williamsport | Williamsport | $5,640.60 | $993.28 – $7,520.80 |