Pressure max expiratory/inspiratory at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$225.00
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.
$375.00
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.
$19.54 with Highmark BCBS of PA vs $161.10 with Cigna — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $19.54 | ↓ -91% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $24.07 | ↓ -89% |
| UPMC Health Plan | CHIP | $29.01 | ↓ -87% |
| UPMC Health Plan | Commercial | $35.14 | ↓ -84% |
| Cigna | Commercial | $39.20 | ↓ -83% |
| Aetna | EBR ASO | $39.20 | ↓ -83% |
| Cigna | EBR | $39.20 | ↓ -83% |
| Aetna | EBR FI | $48.02 | ↓ -79% |
| Aetna of PA | Medicare | $53.82 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $53.90 | ↓ -76% |
| United Healthcare | Compass Exchange | $53.90 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $53.90 | ↓ -76% |
| Aetna | Neighborhood Network | $60.76 | ↓ -73% |
| Aetna | Home Depot Employer Group | $62.43 | ↓ -72% |
| InterGroup | PPO | $63.70 | ↓ -72% |
| United Healthcare | All Business | $63.70 | ↓ -72% |
| Aetna | NBR ASO/FI | $63.70 | ↓ -72% |
| Cigna | New Business ASO | $63.70 | ↓ -72% |
| Cigna | NBR ASO/FI | $63.70 | ↓ -72% |
| Coventry/First Health | Commercial | $68.60 | ↓ -70% |
| Preferred Healthcare System | PPO | $78.40 | ↓ -65% |
| SelectCare | Commercial | $88.20 | ↓ -61% |
| Health Coalition Partners | Intergroup | $88.20 | ↓ -61% |
| Private Health Care Systems | PPO | $88.20 | ↓ -61% |
| Humana | Commercial | $88.20 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicaid | $90.20 | ↓ -60% |
| UPMC Health Plan | Managed Medicare | $128.64 | ↓ -43% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $149.17 | ↓ -34% |
| Aetna | Medicare | $153.65 | ↓ -32% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $153.97 | ↓ -32% |
| United Healthcare | Medicare | $159.61 | ↓ -29% |
| Highmark Wholecare (prev Gateway) | Medicare | $161.09 | ↓ -28% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $161.10 | ↓ -28% |
| AmeriHealth Caritas | Medicare | $161.10 | ↓ -28% |
| Cigna | Medicare | $161.10 | ↓ -28% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Pressure max expiratory/inspiratory at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $148.80 | $7.04 – $161.10 |
| UPMC Carlisle | Carlisle | $279.00 | $29.01 – $355.30 |
| UPMC Community Osteopathic | Harrisburg | $279.00 | $29.01 – $355.30 |
| UPMC East | Monroeville | $166.20 | $7.11 – $161.10 |
| UPMC Northwest | Seneca | $154.80 | $18.28 – $161.10 |
| UPMC Hanover | Hanover | $279.00 | $29.01 – $239.15 |
| UPMC Horizon-Greenville | Greenville | $254.40 | $17.09 – $161.10 |
| UPMC Jameson | New Castle | $254.40 | $7.17 – $186.46 |