Obstetric panel inc HIV tstg at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$446.40
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.
$744.00
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.
$27.01 with Aetna of PA vs $669.60 with Health Coalition Partners — 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 | $27.01 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $64.56 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $73.99 | ↓ -83% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $74.86 | ↓ -83% |
| Aetna | Medicare | $77.11 | ↓ -83% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $77.27 | ↓ -83% |
| United Healthcare | Medicare | $80.10 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $80.84 | ↓ -82% |
| AmeriHealth Caritas | Medicare | $80.85 | ↓ -82% |
| Cigna | Medicare | $80.85 | ↓ -82% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $80.85 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $81.58 | ↓ -82% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $85.66 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $89.74 | ↓ -80% |
| United Healthcare Community Plan for Families | Unison Kids | $93.82 | ↓ -79% |
| Aetna | Medicaid | $101.97 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $113.39 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $120.98 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $127.35 | ↓ -71% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $139.03 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $197.58 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $243.40 | ↓ -45% |
| Cigna | EBR | $297.60 | ↓ -33% |
| Aetna | EBR ASO | $297.60 | ↓ -33% |
| Cigna | Commercial | $297.60 | ↓ -33% |
| Aetna | EBR FI | $364.56 | ↓ -18% |
| United Healthcare | Compass Exchange | $409.20 | ↓ -8% |
| Aetna | Neighborhood Network | $461.28 | ↑ +3% |
| Aetna | Home Depot Employer Group | $473.93 | ↑ +6% |
| Aetna | NBR ASO/FI | $483.60 | ↑ +8% |
| United Healthcare | All Business | $483.60 | ↑ +8% |
| InterGroup | PPO | $483.60 | ↑ +8% |
| Cigna | New Business ASO | $483.60 | ↑ +8% |
| Cigna | NBR ASO/FI | $483.60 | ↑ +8% |
| UPMC Health Plan | Commercial | $507.65 | ↑ +14% |
| Coventry/First Health | Commercial | $520.80 | ↑ +17% |
| Preferred Healthcare System | PPO | $595.20 | ↑ +33% |
| UPMC Health Plan | CHIP | $600.15 | ↑ +34% |
| Humana | Commercial | $669.60 | ↑ +50% |
| Private Health Care Systems | PPO | $669.60 | ↑ +50% |
| SelectCare | Commercial | $669.60 | ↑ +50% |
| Health Coalition Partners | Intergroup | $669.60 | ↑ +50% |
Visitor-reported prices
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Obstetric panel inc HIV tstg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $351.60 | $71.25 – $468.80 |
| UPMC Community Osteopathic | Harrisburg | $486.60 | $74.11 – $689.35 |
| UPMC East | Monroeville | $307.20 | $71.93 – $409.60 |
| UPMC Hamot | Erie | $394.80 | $71.25 – $113.39 |
| UPMC Northwest | Seneca | $471.00 | $67.89 – $93.82 |
| UPMC Horizon-Greenville | Greenville | $444.60 | $67.02 – $115.20 |
| UPMC Jameson | New Castle | $144.60 | $72.51 – $93.82 |
| UPMC Magee | Pittsburgh | $857.40 | $70.06 – $139.03 |