Pretreat rbc w chem/drugs reference at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$125.40
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.
$209.00
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.
$20.43 with Aetna of PA vs $188.10 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 | $20.43 | ↓ -84% |
| UPMC Health Plan | Commercial | $36.78 | ↓ -71% |
| UPMC Health Plan | Managed Medicare | $48.84 | ↓ -61% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $56.63 | ↓ -55% |
| Aetna | Medicare | $58.33 | ↓ -53% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $58.45 | ↓ -53% |
| United Healthcare | Medicare | $60.59 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $61.15 | ↓ -51% |
| Cigna | Medicare | $61.16 | ↓ -51% |
| AmeriHealth Caritas | Medicare | $61.16 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $61.16 | ↓ -51% |
| Aetna | EBR ASO | $83.60 | ↓ -33% |
| Cigna | EBR | $83.60 | ↓ -33% |
| Cigna | Commercial | $83.60 | ↓ -33% |
| Aetna | EBR FI | $102.41 | ↓ -18% |
| United Healthcare | Compass Exchange | $114.95 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $114.95 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $114.95 | ↓ -8% |
| Aetna | Neighborhood Network | $129.58 | ↑ +3% |
| UPMC Health Plan | CHIP | $131.88 | ↑ +5% |
| Aetna | Home Depot Employer Group | $133.13 | ↑ +6% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $133.76 | ↑ +7% |
| Cigna | NBR ASO/FI | $135.85 | ↑ +8% |
| United Healthcare | All Business | $135.85 | ↑ +8% |
| Aetna | NBR ASO/FI | $135.85 | ↑ +8% |
| Cigna | New Business ASO | $135.85 | ↑ +8% |
| InterGroup | PPO | $135.85 | ↑ +8% |
| Coventry/First Health | Commercial | $146.30 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $164.79 | ↑ +31% |
| Preferred Healthcare System | PPO | $167.20 | ↑ +33% |
| Private Health Care Systems | PPO | $188.10 | ↑ +50% |
| SelectCare | Commercial | $188.10 | ↑ +50% |
| Health Coalition Partners | Intergroup | $188.10 | ↑ +50% |
| Humana | Commercial | $188.10 | ↑ +50% |
| Tricare | TRICARE | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Pretreat rbc w chem/drugs reference at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $359.40 | $48.24 – $479.20 |
| UPMC Carlisle | Carlisle | $48.00 | $10.96 – $90.91 |
| UPMC Community Osteopathic | Harrisburg | $48.00 | $16.00 – $131.88 |
| UPMC East | Monroeville | $371.40 | $36.28 – $495.20 |
| UPMC Northwest | Seneca | $298.80 | $36.62 – $61.16 |
| UPMC Hanover | Hanover | $48.00 | $27.14 – $131.88 |
| UPMC Horizon-Greenville | Greenville | $165.00 | $36.73 – $78.00 |
| UPMC Jameson | New Castle | $54.60 | $2.20 – $61.16 |