Ot manual therpy techniques >=1 region each 15 minutes at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$75.00
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.
$125.00
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.
$22.08 with United Healthcare Community Plan for Families vs $112.50 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | Unison MedPLUS | $22.08 | ↓ -71% |
| UPMC Health Plan | Managed Medicaid | $23.13 | ↓ -69% |
| United Healthcare Community Plan for Families | Unison Kids | $24.18 | ↓ -68% |
| Aetna | Medicaid | $26.29 | ↓ -65% |
| Geisinger | Medicaid/CHIP | $29.23 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicaid | $31.19 | ↓ -58% |
| Aetna | Medicare | $31.25 | ↓ -58% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $31.71 | ↓ -58% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $32.83 | ↓ -56% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $35.84 | ↓ -52% |
| UPMC Work Partners | Workers Comp | $46.84 | ↓ -38% |
| Aetna | EBR ASO | $50.00 | ↓ -33% |
| Cigna | EBR | $50.00 | ↓ -33% |
| Cigna | Commercial | $50.00 | ↓ -33% |
| Aetna | EBR FI | $61.25 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $62.50 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $67.01 | ↓ -11% |
| United Healthcare | Compass Exchange | $68.75 | ↓ -8% |
| Aetna | Neighborhood Network | $77.50 | ↑ +3% |
| Aetna | Home Depot Employer Group | $79.62 | ↑ +6% |
| Cigna | NBR ASO/FI | $81.25 | ↑ +8% |
| United Healthcare | All Business | $81.25 | ↑ +8% |
| Aetna | NBR ASO/FI | $81.25 | ↑ +8% |
| Cigna | New Business ASO | $81.25 | ↑ +8% |
| InterGroup | PPO | $81.25 | ↑ +8% |
| UPMC Health Plan | CHIP | $81.59 | ↑ +9% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $82.55 | ↑ +10% |
| Coventry/First Health | Commercial | $87.50 | ↑ +17% |
| UPMC Health Plan | Commercial | $98.84 | ↑ +32% |
| Preferred Healthcare System | PPO | $100.00 | ↑ +33% |
| Private Health Care Systems | PPO | $112.50 | ↑ +50% |
| Health Coalition Partners | Intergroup | $112.50 | ↑ +50% |
| Humana | Commercial | $112.50 | ↑ +50% |
| SelectCare | Commercial | $112.50 | ↑ +50% |
Visitor-reported prices
Comments
Ot manual therpy techniques >=1 region each 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $160.80 | $11.37 – $387.00 |
| UPMC Cole | Coudersport | $70.20 | $22.08 – $92.80 |
| UPMC Community Osteopathic | Harrisburg | $60.60 | $16.60 – $81.59 |
| UPMC East | Monroeville | $83.40 | $23.13 – $111.20 |
| UPMC Hamot | Erie | $67.80 | $23.13 – $100.11 |
| UPMC Northwest | Seneca | $60.00 | $23.13 – $62.72 |
| UPMC Hanover | Hanover | $160.80 | $26.71 – $148.00 |
| UPMC Jameson | New Castle | $62.40 | $18.81 – $85.00 |