Stent bili rx wallflx 10x80 uncvr at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$1,921.20
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.
$3,202.00
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.
$608.38 with Health Partners Plans (Jefferson Health Plan) vs $6,790.11 with UPMC Health Plan — 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $608.38 | ↓ -68% |
| Aetna | Medicare | $800.50 | ↓ -58% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,056.66 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $1,056.66 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,083.24 | ↓ -44% |
| Cigna | EBR | $1,280.80 | ↓ -33% |
| Cigna | Commercial | $1,280.80 | ↓ -33% |
| Aetna | EBR ASO | $1,280.80 | ↓ -33% |
| Aetna | EBR FI | $1,568.98 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,601.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,729.08 | ↓ -10% |
| United Healthcare | Compass Exchange | $1,761.10 | ↓ -8% |
| Aetna | Neighborhood Network | $1,985.24 | ↑ +3% |
| Aetna | Home Depot Employer Group | $2,039.67 | ↑ +6% |
| Cigna | NBR ASO/FI | $2,081.30 | ↑ +8% |
| United Healthcare | All Business | $2,081.30 | ↑ +8% |
| Aetna | NBR ASO/FI | $2,081.30 | ↑ +8% |
| Cigna | New Business ASO | $2,081.30 | ↑ +8% |
| InterGroup | PPO | $2,081.30 | ↑ +8% |
| Coventry/First Health | Commercial | $2,241.40 | ↑ +17% |
| Preferred Healthcare System | PPO | $2,561.60 | ↑ +33% |
| Private Health Care Systems | PPO | $2,881.80 | ↑ +50% |
| SelectCare | Commercial | $2,881.80 | ↑ +50% |
| Health Coalition Partners | Intergroup | $2,881.80 | ↑ +50% |
| Humana | Commercial | $2,881.80 | ↑ +50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $3,181.12 | ↑ +66% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $3,918.84 | ↑ +104% |
| UPMC Health Plan | CHIP | $5,605.21 | ↑ +192% |
| UPMC Health Plan | Commercial | $6,790.11 | ↑ +253% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Stent bili rx wallflx 10x80 uncvr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $33,391.20 | $260.30 – $5,605.21 |
| UPMC Cole | Coudersport | $1,333.20 | $422.18 – $1,777.60 |
| UPMC Community Osteopathic | Harrisburg | $6,966.60 | $596.80 – $6,038.19 |
| UPMC East | Monroeville | $9,372.60 | $404.89 – $5,605.21 |
| UPMC Hamot | Erie | $36,111.00 | $1,147.12 – $1,147.12 |
| UPMC Northwest | Seneca | $3,802.20 | $2,977.22 – $6,782.80 |
| UPMC Horizon-Greenville | Greenville | $3,408.60 | $2,923.53 – $5,605.21 |
| UPMC Jameson | New Castle | $10,104.00 | $1,167.36 – $5,605.21 |