Mopath procedure level 1 at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$639.00
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.
$1,065.00
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.
$23.08 with Aetna of PA vs $652.66 with Highmark BCBS of PA — 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 | $23.08 | ↓ -96% |
| UPMC Health Plan | Managed Medicare | $55.16 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $63.21 | ↓ -90% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $63.96 | ↓ -90% |
| Aetna | Medicare | $65.88 | ↓ -90% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $66.02 | ↓ -90% |
| United Healthcare | Medicare | $68.44 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $69.07 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $69.08 | ↓ -89% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $69.08 | ↓ -89% |
| Cigna | Medicare | $69.08 | ↓ -89% |
| UPMC Health Plan | Commercial | $86.53 | ↓ -86% |
| Aetna | EBR ASO | $203.20 | ↓ -68% |
| Cigna | Commercial | $203.20 | ↓ -68% |
| Cigna | EBR | $203.20 | ↓ -68% |
| Aetna | EBR FI | $248.92 | ↓ -61% |
| United Healthcare | Compass Exchange | $279.40 | ↓ -56% |
| Geisinger | Medicaid/CHIP | $279.40 | ↓ -56% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $279.40 | ↓ -56% |
| UPMC Health Plan | CHIP | $310.30 | ↓ -51% |
| Aetna | Neighborhood Network | $314.96 | ↓ -51% |
| Aetna | Home Depot Employer Group | $323.60 | ↓ -49% |
| Cigna | NBR ASO/FI | $330.20 | ↓ -48% |
| United Healthcare | All Business | $330.20 | ↓ -48% |
| Aetna | NBR ASO/FI | $330.20 | ↓ -48% |
| Cigna | New Business ASO | $330.20 | ↓ -48% |
| InterGroup | PPO | $330.20 | ↓ -48% |
| Coventry/First Health | Commercial | $355.60 | ↓ -44% |
| Preferred Healthcare System | PPO | $406.40 | ↓ -36% |
| Health Coalition Partners | Intergroup | $457.20 | ↓ -28% |
| Humana | Commercial | $457.20 | ↓ -28% |
| SelectCare | Commercial | $457.20 | ↓ -28% |
| Private Health Care Systems | PPO | $457.20 | ↓ -28% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $529.80 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $652.66 | ↑ +2% |
Visitor-reported prices
Comments
Mopath procedure level 1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $621.00 | $63.21 – $387.20 |
| UPMC Carlisle | Carlisle | $138.60 | $29.87 – $185.30 |
| UPMC Community Osteopathic | Harrisburg | $138.60 | $43.60 – $310.30 |
| UPMC East | Monroeville | $1,253.40 | $63.21 – $406.40 |
| UPMC Hamot | Erie | $1,253.40 | $63.21 – $191.05 |
| UPMC Northwest | Seneca | $837.60 | $58.01 – $69.08 |
| UPMC Hanover | Hanover | $138.60 | $51.12 – $310.30 |
| UPMC Horizon-Greenville | Greenville | $1,476.00 | $57.26 – $120.02 |