Manipulation chest wall initial demonstration/evaluation at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$89.40
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.
$149.00
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.
$44.34 with Aetna of PA vs $145.11 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $44.34 | ↓ -50% |
| UPMC Work Partners | Workers Comp | $49.73 | ↓ -44% |
| Cigna | Commercial | $59.60 | ↓ -33% |
| Aetna | EBR ASO | $59.60 | ↓ -33% |
| Cigna | EBR | $59.60 | ↓ -33% |
| Aetna | EBR FI | $73.01 | ↓ -18% |
| United Healthcare | Compass Exchange | $81.95 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $81.95 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $81.95 | ↓ -8% |
| Aetna | Neighborhood Network | $92.38 | ↑ +3% |
| Aetna | Home Depot Employer Group | $94.91 | ↑ +6% |
| InterGroup | PPO | $96.85 | ↑ +8% |
| United Healthcare | All Business | $96.85 | ↑ +8% |
| Aetna | NBR ASO/FI | $96.85 | ↑ +8% |
| Cigna | New Business ASO | $96.85 | ↑ +8% |
| Cigna | NBR ASO/FI | $96.85 | ↑ +8% |
| Coventry/First Health | Commercial | $104.30 | ↑ +17% |
| UPMC Health Plan | Managed Medicare | $105.98 | ↑ +19% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $115.31 | ↑ +29% |
| Preferred Healthcare System | PPO | $119.20 | ↑ +33% |
| UPMC Health Plan | CHIP | $119.78 | ↑ +34% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $122.89 | ↑ +37% |
| Aetna | Medicare | $126.58 | ↑ +42% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $126.85 | ↑ +42% |
| United Healthcare | Medicare | $131.49 | ↑ +47% |
| Highmark Wholecare (prev Gateway) | Medicare | $132.71 | ↑ +48% |
| Cigna | Medicare | $132.72 | ↑ +48% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $132.72 | ↑ +48% |
| AmeriHealth Caritas | Medicare | $132.72 | ↑ +48% |
| SelectCare | Commercial | $134.10 | ↑ +50% |
| Humana | Commercial | $134.10 | ↑ +50% |
| Private Health Care Systems | PPO | $134.10 | ↑ +50% |
| Health Coalition Partners | Intergroup | $134.10 | ↑ +50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $142.05 | ↑ +59% |
| UPMC Health Plan | Commercial | $145.11 | ↑ +62% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Manipulation chest wall initial demonstration/evaluation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $175.20 | $41.58 – $233.60 |
| UPMC Carlisle | Carlisle | $248.40 | $52.04 – $351.90 |
| UPMC Cole | Coudersport | $102.60 | $23.68 – $136.80 |
| UPMC Community Osteopathic | Harrisburg | $248.40 | $58.99 – $351.90 |
| UPMC East | Monroeville | $214.80 | $41.98 – $286.40 |
| UPMC Hamot | Erie | $557.40 | $41.58 – $161.87 |
| UPMC Northwest | Seneca | $96.00 | $56.36 – $132.72 |
| UPMC Hanover | Hanover | $248.40 | $58.99 – $197.02 |