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Neck (Cervical Spine) MRI (with contrast) at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$4,625.40
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.
$7,709.00
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.
$122.85 with Aetna of PA vs $6,938.10 with SelectCare — 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 | $122.85 | ↓ -97% |
| UPMC Health Plan | Managed Medicare | $293.63 | ↓ -94% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $340.48 | ↓ -93% |
| Aetna | Medicare | $350.69 | ↓ -92% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $351.44 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $355.95 | ↓ -92% |
| United Healthcare | Medicare | $364.31 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $367.68 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $367.72 | ↓ -92% |
| Cigna | Medicare | $367.72 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $367.72 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $372.90 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison Kids | $389.85 | ↓ -92% |
| Aetna | Medicaid | $423.75 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $471.18 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $502.74 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $511.21 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $529.21 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $577.72 | ↓ -88% |
| UPMC Health Plan | Commercial | $605.85 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $1,368.07 | ↓ -70% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,913.48 | ↓ -59% |
| UPMC Health Plan | CHIP | $2,172.46 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $2,357.22 | ↓ -49% |
| Cigna | EBR | $3,083.60 | ↓ -33% |
| Cigna | Commercial | $3,083.60 | ↓ -33% |
| Aetna | EBR ASO | $3,083.60 | ↓ -33% |
| Aetna | EBR FI | $3,777.41 | ↓ -18% |
| United Healthcare | Compass Exchange | $4,239.95 | ↓ -8% |
| Aetna | Neighborhood Network | $4,779.58 | ↑ +3% |
| Aetna | Home Depot Employer Group | $4,910.63 | ↑ +6% |
| Cigna | NBR ASO/FI | $5,010.85 | ↑ +8% |
| Aetna | NBR ASO/FI | $5,010.85 | ↑ +8% |
| Cigna | New Business ASO | $5,010.85 | ↑ +8% |
| United Healthcare | All Business | $5,010.85 | ↑ +8% |
| InterGroup | PPO | $5,010.85 | ↑ +8% |
| Coventry/First Health | Commercial | $5,396.30 | ↑ +17% |
| Preferred Healthcare System | PPO | $6,167.20 | ↑ +33% |
| Health Coalition Partners | Intergroup | $6,938.10 | ↑ +50% |
| Private Health Care Systems | PPO | $6,938.10 | ↑ +50% |
| Humana | Commercial | $6,938.10 | ↑ +50% |
| SelectCare | Commercial | $6,938.10 | ↑ +50% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Neck (Cervical Spine) MRI (with contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $4,621.20 | $316.41 – $6,546.70 |
| UPMC East | Monroeville | $5,074.20 | $341.40 – $6,765.60 |
| UPMC Hamot | Erie | $1,455.60 | $220.65 – $1,698.20 |
| UPMC Horizon-Greenville | Greenville | $4,973.40 | $304.83 – $7,045.65 |
| UPMC Jameson | New Castle | $1,929.60 | $309.35 – $2,830.08 |
| UPMC McKeesport | Mckeesport | $4,936.20 | $315.59 – $6,992.95 |
| UPMC Carlisle | Carlisle | $2,854.80 | $338.22 – $4,044.30 |
| UPMC Altoona | Altoona | $1,810.80 | $269.00 – $2,414.40 |