Plc pq device breast ea addl lesion Ultrasound guide at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$3,631.80
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.
$6,053.00
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.
$35.68 with United Healthcare Community Plan for Families vs $5,447.70 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 | $35.68 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $37.38 | ↓ -99% |
| United Healthcare Community Plan for Families | Unison Kids | $39.08 | ↓ -99% |
| Aetna | Medicaid | $42.48 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $47.23 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $50.39 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $51.24 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $53.05 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $57.91 | ↓ -98% |
| UPMC Health Plan | Commercial | $303.26 | ↓ -92% |
| UPMC Health Plan | CHIP | $410.09 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $515.71 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $750.94 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $925.08 | ↓ -75% |
| Aetna | Medicare | $1,513.25 | ↓ -58% |
| Cigna | EBR | $2,421.20 | ↓ -33% |
| Cigna | Commercial | $2,421.20 | ↓ -33% |
| Aetna | EBR ASO | $2,421.20 | ↓ -33% |
| Aetna | EBR FI | $2,965.97 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,026.50 | ↓ -17% |
| United Healthcare | Compass Exchange | $3,329.15 | ↓ -8% |
| Aetna | Neighborhood Network | $3,752.86 | ↑ +3% |
| Aetna | Home Depot Employer Group | $3,855.76 | ↑ +6% |
| Cigna | NBR ASO/FI | $3,934.45 | ↑ +8% |
| United Healthcare | All Business | $3,934.45 | ↑ +8% |
| Aetna | NBR ASO/FI | $3,934.45 | ↑ +8% |
| Cigna | New Business ASO | $3,934.45 | ↑ +8% |
| InterGroup | PPO | $3,934.45 | ↑ +8% |
| Coventry/First Health | Commercial | $4,237.10 | ↑ +17% |
| Preferred Healthcare System | PPO | $4,842.40 | ↑ +33% |
| Private Health Care Systems | PPO | $5,447.70 | ↑ +50% |
| Health Coalition Partners | Intergroup | $5,447.70 | ↑ +50% |
| Humana | Commercial | $5,447.70 | ↑ +50% |
| SelectCare | Commercial | $5,447.70 | ↑ +50% |
Visitor-reported prices
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Plc pq device breast ea addl lesion Ultrasound guide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $592.20 | $33.98 – $789.60 |
| UPMC Carlisle | Carlisle | $969.00 | $43.15 – $9,539.00 |
| UPMC Cole | Coudersport | $76.80 | $35.48 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $969.00 | $44.51 – $1,372.75 |
| UPMC Hamot | Erie | $1,438.20 | $37.38 – $515.71 |
| UPMC Hanover | Hanover | $969.00 | $43.15 – $539.69 |
| UPMC Horizon-Greenville | Greenville | $1,337.40 | $35.68 – $526.81 |
| UPMC Jameson | New Castle | $1,337.40 | $37.18 – $515.71 |