Ivp w/wo kub w/wo tomography at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$288.60
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.
$481.00
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.
$48.83 with United Healthcare Community Plan for Families vs $432.90 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 | $48.83 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $51.15 | ↓ -82% |
| United Healthcare Community Plan for Families | Unison Kids | $53.48 | ↓ -81% |
| Aetna | Medicaid | $58.12 | ↓ -80% |
| Aetna of PA | Medicare | $61.23 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $64.63 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $68.96 | ↓ -76% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $70.12 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $72.59 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $79.25 | ↓ -73% |
| UPMC Health Plan | Commercial | $92.62 | ↓ -68% |
| UPMC Health Plan | Managed Medicare | $146.37 | ↓ -49% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $169.72 | ↓ -41% |
| Aetna | Medicare | $174.81 | ↓ -39% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $175.18 | ↓ -39% |
| United Healthcare | Medicare | $181.60 | ↓ -37% |
| Highmark Wholecare (prev Gateway) | Medicare | $183.28 | ↓ -36% |
| AmeriHealth Caritas | Medicare | $183.30 | ↓ -36% |
| Cigna | Medicare | $183.30 | ↓ -36% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $183.30 | ↓ -36% |
| Aetna | EBR ASO | $192.40 | ↓ -33% |
| Cigna | EBR | $192.40 | ↓ -33% |
| Cigna | Commercial | $192.40 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $203.92 | ↓ -29% |
| Aetna | EBR FI | $235.69 | ↓ -18% |
| United Healthcare | Compass Exchange | $264.55 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $283.46 | ↓ -2% |
| Aetna | Neighborhood Network | $298.22 | ↑ +3% |
| Aetna | Home Depot Employer Group | $306.40 | ↑ +6% |
| Aetna | NBR ASO/FI | $312.65 | ↑ +8% |
| InterGroup | PPO | $312.65 | ↑ +8% |
| United Healthcare | All Business | $312.65 | ↑ +8% |
| Cigna | New Business ASO | $312.65 | ↑ +8% |
| Cigna | NBR ASO/FI | $312.65 | ↑ +8% |
| UPMC Health Plan | CHIP | $332.14 | ↑ +15% |
| Coventry/First Health | Commercial | $336.70 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $349.19 | ↑ +21% |
| Preferred Healthcare System | PPO | $384.80 | ↑ +33% |
| SelectCare | Commercial | $432.90 | ↑ +50% |
| Private Health Care Systems | PPO | $432.90 | ↑ +50% |
| Humana | Commercial | $432.90 | ↑ +50% |
| Health Coalition Partners | Intergroup | $432.90 | ↑ +50% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ivp w/wo kub w/wo tomography at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,311.60 | $27.50 – $1,748.80 |
| UPMC Carlisle | Carlisle | $427.80 | $36.02 – $606.05 |
| UPMC Cole | Coudersport | $475.80 | $48.83 – $634.40 |
| UPMC Community Osteopathic | Harrisburg | $427.80 | $36.02 – $332.14 |
| UPMC Hamot | Erie | $543.60 | $51.15 – $270.53 |
| UPMC Hanover | Hanover | $427.80 | $36.02 – $272.10 |
| UPMC Kane | Kane | $358.80 | $51.15 – $463.88 |
| UPMC Lititz | Lititz | $427.80 | $36.02 – $273.57 |