Surgical pathology level 2 gross & microscopic examination at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$49.80
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.
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What you pay up front if you don't use insurance.
$83.00
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.
$9.78 with UPMC Health Plan vs $74.70 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $9.78 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $11.29 | ↓ -77% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $11.85 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $12.42 | ↓ -75% |
| United Healthcare Community Plan for Families | Unison Kids | $12.98 | ↓ -74% |
| Aetna of PA | Medicare | $13.50 | ↓ -73% |
| Aetna | Medicaid | $14.11 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $15.69 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $16.74 | ↓ -66% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $17.62 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $19.24 | ↓ -61% |
| UPMC Health Plan | Managed Medicare | $32.27 | ↓ -35% |
| Cigna | EBR | $33.20 | ↓ -33% |
| Cigna | Commercial | $33.20 | ↓ -33% |
| Aetna | EBR ASO | $33.20 | ↓ -33% |
| UPMC Health Plan | CHIP | $35.06 | ↓ -30% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $37.42 | ↓ -25% |
| Aetna | Medicare | $38.54 | ↓ -23% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $38.62 | ↓ -22% |
| United Healthcare | Medicare | $40.04 | ↓ -20% |
| AmeriHealth Caritas | Medicare | $40.41 | ↓ -19% |
| Cigna | Medicare | $40.41 | ↓ -19% |
| Highmark Wholecare (prev Gateway) | Medicare | $40.41 | ↓ -19% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $40.41 | ↓ -19% |
| Aetna | EBR FI | $40.67 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $43.45 | ↓ -13% |
| United Healthcare | Compass Exchange | $45.65 | ↓ -8% |
| Aetna | Neighborhood Network | $51.46 | ↑ +3% |
| Aetna | Home Depot Employer Group | $52.87 | ↑ +6% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $53.53 | ↑ +7% |
| Aetna | NBR ASO/FI | $53.95 | ↑ +8% |
| United Healthcare | All Business | $53.95 | ↑ +8% |
| InterGroup | PPO | $53.95 | ↑ +8% |
| Cigna | New Business ASO | $53.95 | ↑ +8% |
| Cigna | NBR ASO/FI | $53.95 | ↑ +8% |
| Coventry/First Health | Commercial | $58.10 | ↑ +17% |
| Preferred Healthcare System | PPO | $66.40 | ↑ +33% |
| UPMC Work Partners | Workers Comp | $68.53 | ↑ +38% |
| Private Health Care Systems | PPO | $74.70 | ↑ +50% |
| Health Coalition Partners | Intergroup | $74.70 | ↑ +50% |
| SelectCare | Commercial | $74.70 | ↑ +50% |
| Humana | Commercial | $74.70 | ↑ +50% |
| Tricare | TRICARE | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 2 gross & microscopic examination at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $128.40 | $5.00 – $171.20 |
| UPMC Carlisle | Carlisle | $54.60 | $6.55 – $77.35 |
| UPMC Cole | Coudersport | $110.40 | $11.85 – $147.20 |
| UPMC Community Osteopathic | Harrisburg | $54.60 | $6.55 – $77.35 |
| UPMC East | Monroeville | $121.20 | $9.64 – $161.60 |
| UPMC Hamot | Erie | $138.00 | $11.29 – $70.24 |
| UPMC Northwest | Seneca | $67.20 | $9.73 – $65.94 |
| UPMC Hanover | Hanover | $54.60 | $6.55 – $69.00 |