Pn soln nos 10 grams lipids at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$74.40
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.
$124.00
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.
$7.00 with Aetna vs $79.03 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 |
|---|---|---|---|
| Aetna | Medicare | $7.00 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $11.07 | ↓ -85% |
| Cigna | EBR | $11.20 | ↓ -85% |
| Aetna | EBR ASO | $11.20 | ↓ -85% |
| Cigna | Commercial | $11.20 | ↓ -85% |
| Aetna | EBR FI | $13.72 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $14.00 | ↓ -81% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $15.40 | ↓ -79% |
| United Healthcare | Compass Exchange | $15.40 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $15.40 | ↓ -79% |
| Aetna | Neighborhood Network | $17.36 | ↓ -77% |
| Aetna | Home Depot Employer Group | $17.84 | ↓ -76% |
| Cigna | NBR ASO/FI | $18.20 | ↓ -76% |
| United Healthcare | All Business | $18.20 | ↓ -76% |
| Aetna | NBR ASO/FI | $18.20 | ↓ -76% |
| Cigna | New Business ASO | $18.20 | ↓ -76% |
| InterGroup | PPO | $18.20 | ↓ -76% |
| Coventry/First Health | Commercial | $19.60 | ↓ -74% |
| Preferred Healthcare System | PPO | $22.40 | ↓ -70% |
| Private Health Care Systems | PPO | $25.20 | ↓ -66% |
| SelectCare | Commercial | $25.20 | ↓ -66% |
| Health Coalition Partners | Intergroup | $25.20 | ↓ -66% |
| Humana | Commercial | $25.20 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $56.13 | ↓ -25% |
| UPMC Health Plan | CHIP | $65.24 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $69.15 | ↓ -7% |
| UPMC Health Plan | Commercial | $79.03 | ↑ +6% |
Visitor-reported prices
Comments
Pn soln nos 10 grams lipids at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $71.40 | $19.14 – $65.24 |
| UPMC East | Monroeville | $360.00 | $19.14 – $239.20 |
| UPMC Hamot | Erie | $620.80 | $19.14 – $20.24 |
| UPMC Northwest | Seneca | $96.00 | $19.14 – $78.95 |
| UPMC Horizon-Greenville | Greenville | $239.20 | $19.14 – $65.24 |
| UPMC Jameson | New Castle | $11.00 | $10.02 – $65.24 |
| UPMC Magee | Pittsburgh | $264.60 | $12.56 – $65.24 |
| UPMC McKeesport | Mckeesport | $94.40 | $12.56 – $65.24 |