Lead tachy durata sj4 58cm at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$8,494.20
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.
$14,157.00
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.
$2,689.83 with Health Partners Plans (Jefferson Health Plan) vs $20,447.26 with UPMC Health Plan — 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,689.83 | ↓ -68% |
| Aetna | Medicare | $3,539.25 | ↓ -58% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4,671.81 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $4,671.81 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4,789.31 | ↓ -44% |
| Cigna | EBR | $5,662.80 | ↓ -33% |
| Cigna | Commercial | $5,662.80 | ↓ -33% |
| Aetna | EBR ASO | $5,662.80 | ↓ -33% |
| Aetna | EBR FI | $6,936.93 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $7,078.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7,644.78 | ↓ -10% |
| United Healthcare | Compass Exchange | $7,786.35 | ↓ -8% |
| Aetna | Neighborhood Network | $8,777.34 | ↑ +3% |
| Aetna | Home Depot Employer Group | $9,018.01 | ↑ +6% |
| Cigna | NBR ASO/FI | $9,202.05 | ↑ +8% |
| United Healthcare | All Business | $9,202.05 | ↑ +8% |
| Aetna | NBR ASO/FI | $9,202.05 | ↑ +8% |
| Cigna | New Business ASO | $9,202.05 | ↑ +8% |
| InterGroup | PPO | $9,202.05 | ↑ +8% |
| Coventry/First Health | Commercial | $9,909.90 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $10,793.43 | ↑ +27% |
| Preferred Healthcare System | PPO | $11,325.60 | ↑ +33% |
| Private Health Care Systems | PPO | $12,741.30 | ↑ +50% |
| SelectCare | Commercial | $12,741.30 | ↑ +50% |
| Health Coalition Partners | Intergroup | $12,741.30 | ↑ +50% |
| Humana | Commercial | $12,741.30 | ↑ +50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $13,296.47 | ↑ +57% |
| UPMC Health Plan | CHIP | $16,879.13 | ↑ +99% |
| UPMC Health Plan | Commercial | $20,447.26 | ↑ +141% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Lead tachy durata sj4 58cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $13,722.00 | $3,892.14 – $18,296.00 |
| UPMC East | Monroeville | $31,804.20 | $3,929.20 – $41,682.40 |
| UPMC Hamot | Erie | $34,287.60 | $3,892.14 – $3,892.14 |
| UPMC Passavant-McCandless | Pittsburgh | $13,024.20 | $3,929.20 – $24,493.72 |
| UPMC Presbyterian | Pittsburgh | $32,130.60 | $3,929.20 – $27,290.54 |
| UPMC St. Margaret | Pittsburgh | $7,220.40 | $3,929.20 – $20,711.90 |
| WellSpan Chambersburg Hospital | Chambersburg | $5,928.91 | $2,732.40 – $2,732.40 |