Mopath procedure level 6 at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$1,687.80
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.
$2,813.00
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.
$108.73 with Aetna of PA vs $3,045.83 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 | $108.73 | ↓ -94% |
| UPMC Health Plan | Commercial | $256.85 | ↓ -85% |
| UPMC Health Plan | Managed Medicare | $259.88 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $297.84 | ↓ -82% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $301.35 | ↓ -82% |
| Aetna | Medicare | $310.39 | ↓ -82% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $311.05 | ↓ -82% |
| United Healthcare | Medicare | $322.44 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $325.43 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $325.46 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $325.46 | ↓ -81% |
| Cigna | Medicare | $325.46 | ↓ -81% |
| Aetna | EBR ASO | $794.40 | ↓ -53% |
| Cigna | Commercial | $794.40 | ↓ -53% |
| Cigna | EBR | $794.40 | ↓ -53% |
| UPMC Health Plan | CHIP | $921.03 | ↓ -45% |
| Aetna | EBR FI | $973.14 | ↓ -42% |
| Geisinger | Medicaid/CHIP | $1,092.30 | ↓ -35% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,092.30 | ↓ -35% |
| United Healthcare | Compass Exchange | $1,092.30 | ↓ -35% |
| Aetna | Neighborhood Network | $1,231.32 | ↓ -27% |
| Aetna | Home Depot Employer Group | $1,265.08 | ↓ -25% |
| Cigna | NBR ASO/FI | $1,290.90 | ↓ -24% |
| United Healthcare | All Business | $1,290.90 | ↓ -24% |
| Aetna | NBR ASO/FI | $1,290.90 | ↓ -24% |
| Cigna | New Business ASO | $1,290.90 | ↓ -24% |
| InterGroup | PPO | $1,290.90 | ↓ -24% |
| Coventry/First Health | Commercial | $1,390.20 | ↓ -18% |
| Preferred Healthcare System | PPO | $1,588.80 | ↓ -6% |
| Health Coalition Partners | Intergroup | $1,787.40 | ↑ +6% |
| Humana | Commercial | $1,787.40 | ↑ +6% |
| SelectCare | Commercial | $1,787.40 | ↑ +6% |
| Private Health Care Systems | PPO | $1,787.40 | ↑ +6% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $2,472.45 | ↑ +46% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $3,045.83 | ↑ +80% |
Visitor-reported prices
Comments
Mopath procedure level 6 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $8,542.20 | $119.50 – $891.57 |
| UPMC Cole | Coudersport | $2,264.40 | $53.00 – $3,019.20 |
| UPMC East | Monroeville | $5,299.80 | $253.37 – $900.06 |
| UPMC Hamot | Erie | $5,466.00 | $297.84 – $891.57 |
| UPMC Northwest | Seneca | $5,299.80 | $255.72 – $325.46 |
| UPMC Horizon-Greenville | Greenville | $5,299.80 | $256.54 – $565.48 |
| UPMC Jameson | New Castle | $9,041.40 | $211.39 – $907.31 |
| UPMC Magee | Pittsburgh | $8,440.80 | $268.10 – $900.06 |