Mayo a1app alpha 1 antitrypsin phenotype at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$75.00
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.
$125.00
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.
$5.22 with Aetna of PA vs $112.50 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $5.22 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $12.47 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $14.29 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $14.46 | ↓ -81% |
| Aetna | Medicare | $14.89 | ↓ -80% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $14.93 | ↓ -80% |
| United Healthcare | Medicare | $15.47 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $15.62 | ↓ -79% |
| Cigna | Medicare | $15.62 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $15.62 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $15.62 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $17.00 | ↓ -77% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $17.85 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $18.70 | ↓ -75% |
| United Healthcare Community Plan for Families | Unison Kids | $19.55 | ↓ -74% |
| UPMC Health Plan | Commercial | $20.13 | ↓ -73% |
| Aetna | Medicaid | $21.25 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $23.63 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $25.21 | ↓ -66% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $26.54 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $28.97 | ↓ -61% |
| Cigna | Commercial | $50.00 | ↓ -33% |
| Cigna | EBR | $50.00 | ↓ -33% |
| Aetna | EBR ASO | $50.00 | ↓ -33% |
| Aetna | EBR FI | $61.25 | ↓ -18% |
| United Healthcare | Compass Exchange | $68.75 | ↓ -8% |
| UPMC Health Plan | CHIP | $72.18 | ↓ -4% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $77.48 | ↑ +3% |
| Aetna | Neighborhood Network | $77.50 | ↑ +3% |
| Aetna | Home Depot Employer Group | $79.62 | ↑ +6% |
| Aetna | NBR ASO/FI | $81.25 | ↑ +8% |
| InterGroup | PPO | $81.25 | ↑ +8% |
| United Healthcare | All Business | $81.25 | ↑ +8% |
| Cigna | New Business ASO | $81.25 | ↑ +8% |
| Cigna | NBR ASO/FI | $81.25 | ↑ +8% |
| Coventry/First Health | Commercial | $87.50 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $95.44 | ↑ +27% |
| Preferred Healthcare System | PPO | $100.00 | ↑ +33% |
| Private Health Care Systems | PPO | $112.50 | ↑ +50% |
| SelectCare | Commercial | $112.50 | ↑ +50% |
| Humana | Commercial | $112.50 | ↑ +50% |
| Health Coalition Partners | Intergroup | $112.50 | ↑ +50% |
Visitor-reported prices
Comments
Mayo a1app alpha 1 antitrypsin phenotype at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $181.20 | $14.29 – $241.60 |
| UPMC Carlisle | Carlisle | $73.80 | $14.32 – $104.55 |
| UPMC Community Osteopathic | Harrisburg | $73.80 | $14.32 – $104.55 |
| UPMC East | Monroeville | $215.40 | $14.29 – $287.20 |
| UPMC Hamot | Erie | $209.40 | $14.29 – $27.94 |
| UPMC Northwest | Seneca | $96.00 | $13.11 – $19.55 |
| UPMC Hanover | Hanover | $73.80 | $14.32 – $23.15 |
| UPMC Horizon-Greenville | Greenville | $102.60 | $12.95 – $27.13 |