Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$3,496.20
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.
$5,827.00
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.
$349.96 with Aetna of PA vs $5,244.30 with Health Coalition Partners — 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 | $349.96 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $679.94 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $712.32 | ↓ -80% |
| United Healthcare Community Plan for Families | Unison Kids | $744.69 | ↓ -79% |
| Aetna | Medicaid | $809.45 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $836.49 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $900.04 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicaid | $960.33 | ↓ -73% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $969.96 | ↓ -72% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $976.52 | ↓ -72% |
| Aetna | Medicare | $999.06 | ↓ -71% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,001.19 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,010.91 | ↓ -71% |
| United Healthcare | Medicare | $1,037.86 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,047.46 | ↓ -70% |
| AmeriHealth Caritas | Medicare | $1,047.56 | ↓ -70% |
| Cigna | Medicare | $1,047.56 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,047.56 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $1,067.37 | ↓ -69% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,103.57 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,572.85 | ↓ -55% |
| UPMC Health Plan | CHIP | $1,749.72 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,937.61 | ↓ -45% |
| UPMC Health Plan | Commercial | $2,119.60 | ↓ -39% |
| Cigna | EBR | $2,330.80 | ↓ -33% |
| Cigna | Commercial | $2,330.80 | ↓ -33% |
| Aetna | EBR ASO | $2,330.80 | ↓ -33% |
| Aetna | EBR FI | $2,855.23 | ↓ -18% |
| United Healthcare | Compass Exchange | $3,204.85 | ↓ -8% |
| Aetna | Neighborhood Network | $3,612.74 | ↑ +3% |
| Aetna | Home Depot Employer Group | $3,711.80 | ↑ +6% |
| Aetna | NBR ASO/FI | $3,787.55 | ↑ +8% |
| United Healthcare | All Business | $3,787.55 | ↑ +8% |
| InterGroup | PPO | $3,787.55 | ↑ +8% |
| Cigna | New Business ASO | $3,787.55 | ↑ +8% |
| Cigna | NBR ASO/FI | $3,787.55 | ↑ +8% |
| Coventry/First Health | Commercial | $4,078.90 | ↑ +17% |
| Preferred Healthcare System | PPO | $4,661.60 | ↑ +33% |
| Humana | Commercial | $5,244.30 | ↑ +50% |
| SelectCare | Commercial | $5,244.30 | ↑ +50% |
| Private Health Care Systems | PPO | $5,244.30 | ↑ +50% |
| Health Coalition Partners | Intergroup | $5,244.30 | ↑ +50% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,547.00 | $517.67 – $3,396.00 |
| UPMC Carlisle | Carlisle | $4,898.40 | $678.15 – $6,939.40 |
| UPMC Hamot | Erie | $2,308.20 | $292.41 – $1,349.45 |
| UPMC Hanover | Hanover | $4,898.40 | $678.15 – $1,555.06 |
| UPMC Horizon-Greenville | Greenville | $3,305.40 | $679.94 – $1,375.62 |
| UPMC Jameson | New Castle | $3,108.60 | $577.18 – $1,212.45 |
| UPMC Lititz | Lititz | $4,898.40 | $678.15 – $1,563.46 |
| UPMC Memorial | York | $4,898.40 | $462.27 – $1,560.93 |