Pfc sigma fem post aug sz3 8mm at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$4,512.60
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.
$7,521.00
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.
$457.90 with Health Partners Plans (Jefferson Health Plan) vs $4,981.75 with UPMC Health Plan — 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $457.90 | ↓ -90% |
| Aetna | Medicare | $602.50 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $795.30 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $795.30 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $815.30 | ↓ -82% |
| Aetna | EBR ASO | $964.00 | ↓ -79% |
| Cigna | EBR | $964.00 | ↓ -79% |
| Cigna | Commercial | $964.00 | ↓ -79% |
| Aetna | EBR FI | $1,180.90 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,205.00 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,301.40 | ↓ -71% |
| United Healthcare | Compass Exchange | $1,325.50 | ↓ -71% |
| Aetna | Neighborhood Network | $1,494.20 | ↓ -67% |
| Aetna | Home Depot Employer Group | $1,535.17 | ↓ -66% |
| Cigna | NBR ASO/FI | $1,566.50 | ↓ -65% |
| InterGroup | PPO | $1,566.50 | ↓ -65% |
| United Healthcare | All Business | $1,566.50 | ↓ -65% |
| Aetna | NBR ASO/FI | $1,566.50 | ↓ -65% |
| Cigna | New Business ASO | $1,566.50 | ↓ -65% |
| Coventry/First Health | Commercial | $1,687.00 | ↓ -63% |
| Preferred Healthcare System | PPO | $1,928.00 | ↓ -57% |
| Private Health Care Systems | PPO | $2,169.00 | ↓ -52% |
| Health Coalition Partners | Intergroup | $2,169.00 | ↓ -52% |
| Humana | Commercial | $2,169.00 | ↓ -52% |
| SelectCare | Commercial | $2,169.00 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $2,214.00 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $2,727.43 | ↓ -40% |
| UPMC Health Plan | CHIP | $4,112.42 | ↓ -9% |
| UPMC Health Plan | Commercial | $4,981.75 | ↑ +10% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Pfc sigma fem post aug sz3 8mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $19,252.20 | $19.00 – $4,112.42 |
| UPMC Cole | Coudersport | $12,600.00 | $175.18 – $737.60 |
| UPMC East | Monroeville | $31,394.40 | $64.03 – $4,112.42 |
| UPMC Hamot | Erie | $34,521.00 | $798.37 – $798.37 |
| UPMC Northwest | Seneca | $26,256.60 | $2,072.09 – $4,976.39 |
| UPMC Horizon-Greenville | Greenville | $23,824.20 | $2,034.72 – $4,112.42 |
| UPMC Jameson | New Castle | $61,618.20 | $812.46 – $4,112.42 |
| UPMC Kane | Kane | $17,997.00 | $3,028.28 – $3,028.28 |