Ot therapeutic activities direct patient contact 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.
$13.65 with United Healthcare Community Plan for Families vs $112.50 with Humana — 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 | $13.65 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $14.30 | ↓ -81% |
| United Healthcare Community Plan for Families | Unison Kids | $14.95 | ↓ -80% |
| Aetna | Medicaid | $16.25 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $18.07 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $19.28 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $19.60 | ↓ -74% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $20.29 | ↓ -73% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $22.15 | ↓ -70% |
| Aetna | Medicare | $31.25 | ↓ -58% |
| Cigna | EBR | $50.00 | ↓ -33% |
| Cigna | Commercial | $50.00 | ↓ -33% |
| Aetna | EBR ASO | $50.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $56.55 | ↓ -25% |
| UPMC Work Partners | Workers Comp | $60.11 | ↓ -20% |
| Aetna | EBR FI | $61.25 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $62.50 | ↓ -17% |
| United Healthcare | Compass Exchange | $68.75 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $69.66 | ↓ -7% |
| UPMC Health Plan | CHIP | $71.79 | ↓ -4% |
| 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 | Commercial | $86.97 | ↑ +16% |
| Coventry/First Health | Commercial | $87.50 | ↑ +17% |
| Preferred Healthcare System | PPO | $100.00 | ↑ +33% |
| SelectCare | Commercial | $112.50 | ↑ +50% |
| Health Coalition Partners | Intergroup | $112.50 | ↑ +50% |
| Private Health Care Systems | PPO | $112.50 | ↑ +50% |
| Humana | Commercial | $112.50 | ↑ +50% |
Visitor-reported prices
Comments
Ot therapeutic activities direct patient contact each 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $113.40 | $13.00 – $151.20 |
| UPMC Carlisle | Carlisle | $80.40 | $11.37 – $387.00 |
| UPMC Cole | Coudersport | $81.00 | $13.65 – $108.00 |
| UPMC Community Osteopathic | Harrisburg | $80.40 | $16.51 – $71.79 |
| UPMC East | Monroeville | $70.20 | $14.30 – $93.60 |
| UPMC Hamot | Erie | $80.40 | $14.30 – $100.11 |
| UPMC Northwest | Seneca | $63.60 | $14.30 – $60.41 |
| UPMC Hanover | Hanover | $80.40 | $16.51 – $148.00 |