Mayo gamma-globin full gene sequencing at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$4,357.80
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.
$7,263.00
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.
$210.67 with Highmark BCBS of PA vs $1,256.40 with Humana — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $210.67 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $259.53 | ↓ -94% |
| Aetna | Medicare | $349.00 | ↓ -92% |
| UPMC Health Plan | CHIP | $488.60 | ↓ -89% |
| Cigna | EBR | $558.40 | ↓ -87% |
| Aetna | EBR ASO | $558.40 | ↓ -87% |
| Cigna | Commercial | $558.40 | ↓ -87% |
| Aetna | EBR FI | $684.04 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $698.00 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $767.80 | ↓ -82% |
| United Healthcare | Compass Exchange | $767.80 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $767.80 | ↓ -82% |
| Aetna | Neighborhood Network | $865.52 | ↓ -80% |
| Aetna | Home Depot Employer Group | $889.25 | ↓ -80% |
| Cigna | NBR ASO/FI | $907.40 | ↓ -79% |
| United Healthcare | All Business | $907.40 | ↓ -79% |
| Aetna | NBR ASO/FI | $907.40 | ↓ -79% |
| Cigna | New Business ASO | $907.40 | ↓ -79% |
| InterGroup | PPO | $907.40 | ↓ -79% |
| Coventry/First Health | Commercial | $977.20 | ↓ -78% |
| UPMC Health Plan | Commercial | $993.95 | ↓ -77% |
| Preferred Healthcare System | PPO | $1,116.80 | ↓ -74% |
| SelectCare | Commercial | $1,256.40 | ↓ -71% |
| Health Coalition Partners | Intergroup | $1,256.40 | ↓ -71% |
| Private Health Care Systems | PPO | $1,256.40 | ↓ -71% |
| Humana | Commercial | $1,256.40 | ↓ -71% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Mayo gamma-globin full gene sequencing at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $9,247.80 | $75.97 – $189.60 |
| UPMC Carlisle | Carlisle | $192.60 | $43.98 – $1,096.80 |
| UPMC Cole | Coudersport | $348.00 | $53.00 – $464.00 |
| UPMC Community Osteopathic | Harrisburg | $201.00 | $64.20 – $303.70 |
| UPMC East | Monroeville | $9,424.80 | $75.50 – $241.60 |
| UPMC Hamot | Erie | $9,754.20 | $75.97 – $210.76 |
| UPMC Northwest | Seneca | $8,992.20 | $197.17 – $197.17 |
| UPMC Hanover | Hanover | $192.60 | $436.92 – $1,096.80 |