Pms2 gene dup/delet variants at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$1,523.40
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.
$2,539.00
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.
$73.42 with Aetna of PA vs $2,285.10 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $73.42 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $175.50 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $177.33 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $186.20 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $195.06 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $201.13 | ↓ -87% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $203.50 | ↓ -87% |
| United Healthcare Community Plan for Families | Unison Kids | $203.93 | ↓ -87% |
| Aetna | Medicare | $209.60 | ↓ -86% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $210.05 | ↓ -86% |
| United Healthcare | Medicare | $217.75 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $219.76 | ↓ -86% |
| Cigna | Medicare | $219.78 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $219.78 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $219.78 | ↓ -86% |
| Aetna | Medicaid | $221.66 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $246.47 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $262.98 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $276.83 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $302.21 | ↓ -80% |
| UPMC Health Plan | CHIP | $888.65 | ↓ -42% |
| Cigna | EBR | $1,015.60 | ↓ -33% |
| Aetna | EBR ASO | $1,015.60 | ↓ -33% |
| Cigna | Commercial | $1,015.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,205.68 | ↓ -21% |
| Aetna | EBR FI | $1,244.11 | ↓ -18% |
| United Healthcare | Compass Exchange | $1,396.45 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,485.29 | ↓ -3% |
| Aetna | Neighborhood Network | $1,574.18 | ↑ +3% |
| Aetna | Home Depot Employer Group | $1,617.34 | ↑ +6% |
| InterGroup | PPO | $1,650.35 | ↑ +8% |
| Cigna | New Business ASO | $1,650.35 | ↑ +8% |
| United Healthcare | All Business | $1,650.35 | ↑ +8% |
| Cigna | NBR ASO/FI | $1,650.35 | ↑ +8% |
| Aetna | NBR ASO/FI | $1,650.35 | ↑ +8% |
| Coventry/First Health | Commercial | $1,777.30 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,807.77 | ↑ +19% |
| Preferred Healthcare System | PPO | $2,031.20 | ↑ +33% |
| Private Health Care Systems | PPO | $2,285.10 | ↑ +50% |
| SelectCare | Commercial | $2,285.10 | ↑ +50% |
| Health Coalition Partners | Intergroup | $2,285.10 | ↑ +50% |
| Humana | Commercial | $2,285.10 | ↑ +50% |
Visitor-reported prices
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Pms2 gene dup/delet variants at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,438.80 | $177.33 – $1,918.40 |
| UPMC Northwest | Seneca | $1,523.40 | $184.55 – $219.78 |
| UPMC Horizon-Greenville | Greenville | $1,523.40 | $177.33 – $381.87 |
| UPMC Magee | Pittsburgh | $898.80 | $190.46 – $438.91 |
| UPMC Mercy | Pittsburgh | $1,523.40 | $169.64 – $434.77 |
| UPMC Muncy | Muncy | $1,194.60 | $195.06 – $302.21 |
| UPMC Passavant-McCandless | Pittsburgh | $1,522.80 | $189.11 – $438.91 |
| UPMC Presbyterian | Pittsburgh | $1,523.40 | $177.33 – $438.91 |