Prothrombin complex kcentra at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$7.80
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.
?
What you pay up front if you don't use insurance.
$9.75
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.77 with Aetna of PA vs $8.10 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $0.77 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $1.85 | ↓ -76% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2.14 | ↓ -73% |
| Aetna | Medicare | $2.20 | ↓ -72% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $2.21 | ↓ -72% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $2.25 | ↓ -71% |
| United Healthcare | Medicare | $2.29 | ↓ -71% |
| AmeriHealth Caritas | Medicare | $2.31 | ↓ -70% |
| Cigna | Medicare | $2.31 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $2.31 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2.31 | ↓ -70% |
| United Healthcare Community Plan for Families | Unison Kids | $2.46 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $2.61 | ↓ -67% |
| UPMC Health Plan | CHIP | $3.15 | ↓ -60% |
| Cigna | Commercial | $3.60 | ↓ -54% |
| Cigna | EBR | $3.60 | ↓ -54% |
| Aetna | EBR ASO | $3.60 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $3.66 | ↓ -53% |
| Aetna | EBR FI | $4.41 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $4.51 | ↓ -42% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4.95 | ↓ -37% |
| Geisinger | Medicaid/CHIP | $4.95 | ↓ -37% |
| United Healthcare | Compass Exchange | $5.13 | ↓ -34% |
| Aetna | Neighborhood Network | $5.58 | ↓ -28% |
| Aetna | Home Depot Employer Group | $5.73 | ↓ -27% |
| Cigna | NBR ASO/FI | $5.85 | ↓ -25% |
| Aetna | NBR ASO/FI | $5.85 | ↓ -25% |
| Cigna | New Business ASO | $5.85 | ↓ -25% |
| InterGroup | PPO | $5.85 | ↓ -25% |
| United Healthcare | All Business | $6.03 | ↓ -23% |
| Coventry/First Health | Commercial | $6.30 | ↓ -19% |
| UPMC Health Plan | Commercial | $6.41 | ↓ -18% |
| Preferred Healthcare System | PPO | $7.20 | ↓ -8% |
| SelectCare | Commercial | $8.10 | ↑ +4% |
| Private Health Care Systems | PPO | $8.10 | ↑ +4% |
| Health Coalition Partners | Intergroup | $8.10 | ↑ +4% |
| Humana | Commercial | $8.10 | ↑ +4% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Prothrombin complex kcentra at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6.80 | $1.32 – $6.40 |
| UPMC Carlisle | Carlisle | $32.40 | $0.27 – $3.42 |
| UPMC Community Osteopathic | Harrisburg | $32.40 | $0.40 – $2.31 |
| UPMC East | Monroeville | $7.80 | $1.08 – $7.20 |
| UPMC Hamot | Erie | $9.20 | $1.32 – $2.90 |
| UPMC Northwest | Seneca | $8.20 | $1.94 – $2.31 |
| UPMC Hanover | Hanover | $32.40 | $2.12 – $3.42 |
| UPMC Horizon-Greenville | Greenville | $7.80 | $1.92 – $3.36 |