Rpl picc wo subq port/pump incl image guidnc w/s&i at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$4,194.00
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.
?
What you pay up front if you don't use insurance.
$6,990.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$68.40 with United Healthcare Community Plan for Families vs $6,291.00 with Private Health Care Systems — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | Unison MedPLUS | $68.40 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $71.65 | ↓ -98% |
| United Healthcare Community Plan for Families | Unison Kids | $74.91 | ↓ -98% |
| Aetna | Medicaid | $81.42 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $90.54 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $96.60 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $98.23 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $101.69 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $111.01 | ↓ -97% |
| Aetna of PA | Medicare | $534.35 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $570.19 | ↓ -86% |
| UPMC Health Plan | Commercial | $871.20 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $1,277.23 | ↓ -70% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,481.02 | ↓ -65% |
| Aetna | Medicare | $1,525.45 | ↓ -64% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,528.71 | ↓ -64% |
| UPMC Health Plan | CHIP | $1,579.54 | ↓ -62% |
| United Healthcare | Medicare | $1,584.69 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,599.35 | ↓ -62% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,599.50 | ↓ -62% |
| AmeriHealth Caritas | Medicare | $1,599.50 | ↓ -62% |
| Cigna | Medicare | $1,599.50 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,620.59 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,996.41 | ↓ -52% |
| Aetna | EBR ASO | $2,796.00 | ↓ -33% |
| Cigna | EBR | $2,796.00 | ↓ -33% |
| Cigna | Commercial | $2,796.00 | ↓ -33% |
| Aetna | EBR FI | $3,425.10 | ↓ -18% |
| United Healthcare | Compass Exchange | $3,844.50 | ↓ -8% |
| Aetna | Neighborhood Network | $4,333.80 | ↑ +3% |
| Aetna | Home Depot Employer Group | $4,452.63 | ↑ +6% |
| Aetna | NBR ASO/FI | $4,543.50 | ↑ +8% |
| InterGroup | PPO | $4,543.50 | ↑ +8% |
| Cigna | NBR ASO/FI | $4,543.50 | ↑ +8% |
| Cigna | New Business ASO | $4,543.50 | ↑ +8% |
| United Healthcare | All Business | $4,543.50 | ↑ +8% |
| Coventry/First Health | Commercial | $4,893.00 | ↑ +17% |
| Preferred Healthcare System | PPO | $5,592.00 | ↑ +33% |
| Health Coalition Partners | Intergroup | $6,291.00 | ↑ +50% |
| Humana | Commercial | $6,291.00 | ↑ +50% |
| SelectCare | Commercial | $6,291.00 | ↑ +50% |
| Private Health Care Systems | PPO | $6,291.00 | ↑ +50% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Rpl picc wo subq port/pump incl image guidnc w/s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,267.20 | $65.14 – $1,689.60 |
| UPMC Carlisle | Carlisle | $3,217.80 | $82.73 – $4,558.55 |
| UPMC Community Osteopathic | Harrisburg | $3,217.80 | $87.94 – $4,558.55 |
| UPMC East | Monroeville | $2,449.20 | $71.65 – $3,265.60 |
| UPMC Hamot | Erie | $2,130.60 | $71.65 – $2,154.03 |
| UPMC Northwest | Seneca | $3,075.00 | $71.65 – $1,555.07 |
| UPMC Hanover | Hanover | $3,217.80 | $82.73 – $2,374.40 |
| UPMC Horizon-Greenville | Greenville | $2,926.20 | $71.65 – $1,599.50 |