Mayo mpl sequence analysis exon 10 at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$513.00
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.
$855.00
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.
$66.82 with Aetna of PA vs $783.27 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 | $66.82 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $159.72 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $183.04 | ↓ -64% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $185.20 | ↓ -64% |
| Aetna | Medicare | $190.76 | ↓ -63% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $191.16 | ↓ -63% |
| United Healthcare | Medicare | $198.16 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $200.00 | ↓ -61% |
| Cigna | Medicare | $200.02 | ↓ -61% |
| AmeriHealth Caritas | Medicare | $200.02 | ↓ -61% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $200.02 | ↓ -61% |
| Aetna | EBR ASO | $342.00 | ↓ -33% |
| Cigna | Commercial | $342.00 | ↓ -33% |
| Cigna | EBR | $342.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $383.41 | ↓ -25% |
| Aetna | EBR FI | $418.95 | ↓ -18% |
| United Healthcare | Compass Exchange | $470.25 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $470.25 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $470.25 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $472.32 | ↓ -8% |
| Aetna | Neighborhood Network | $530.10 | ↑ +3% |
| Aetna | Home Depot Employer Group | $544.63 | ↑ +6% |
| Cigna | NBR ASO/FI | $555.75 | ↑ +8% |
| United Healthcare | All Business | $555.75 | ↑ +8% |
| Aetna | NBR ASO/FI | $555.75 | ↑ +8% |
| Cigna | New Business ASO | $555.75 | ↑ +8% |
| InterGroup | PPO | $555.75 | ↑ +8% |
| Coventry/First Health | Commercial | $598.50 | ↑ +17% |
| UPMC Health Plan | Commercial | $662.55 | ↑ +29% |
| Preferred Healthcare System | PPO | $684.00 | ↑ +33% |
| Private Health Care Systems | PPO | $769.50 | ↑ +50% |
| Health Coalition Partners | Intergroup | $769.50 | ↑ +50% |
| Humana | Commercial | $769.50 | ↑ +50% |
| SelectCare | Commercial | $769.50 | ↑ +50% |
| UPMC Health Plan | CHIP | $783.27 | ↑ +53% |
Visitor-reported prices
Comments
Mayo mpl sequence analysis exon 10 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $710.40 | $138.26 – $671.20 |
| UPMC East | Monroeville | $752.40 | $139.57 – $684.00 |
| UPMC Hamot | Erie | $786.60 | $138.26 – $200.02 |
| UPMC Northwest | Seneca | $752.40 | $167.96 – $200.02 |
| UPMC Horizon-Greenville | Greenville | $752.40 | $165.81 – $223.56 |
| UPMC Jameson | New Castle | $752.40 | $129.92 – $200.02 |
| UPMC Magee | Pittsburgh | $513.00 | $139.57 – $203.72 |
| UPMC McKeesport | Mckeesport | $752.40 | $139.57 – $203.72 |