System pcmkr dual chamber leadless micra av2 intrdcr cath at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$9,612.00
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.
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What you pay up front if you don't use insurance.
$16,020.00
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.
$1,998.99 with Health Partners Plans (Jefferson Health Plan) vs $22,373.11 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 | $1,998.99 | ↓ -79% |
| Aetna | Medicare | $2,630.25 | ↓ -73% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,471.93 | ↓ -64% |
| Geisinger | Medicaid/CHIP | $3,471.93 | ↓ -64% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,559.25 | ↓ -63% |
| Cigna | EBR | $4,208.40 | ↓ -56% |
| Cigna | Commercial | $4,208.40 | ↓ -56% |
| Aetna | EBR ASO | $4,208.40 | ↓ -56% |
| Aetna | EBR FI | $5,155.29 | ↓ -46% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,260.50 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5,681.34 | ↓ -41% |
| United Healthcare | Compass Exchange | $5,786.55 | ↓ -40% |
| Aetna | Neighborhood Network | $6,523.02 | ↓ -32% |
| Aetna | Home Depot Employer Group | $6,701.88 | ↓ -30% |
| Cigna | NBR ASO/FI | $6,838.65 | ↓ -29% |
| United Healthcare | All Business | $6,838.65 | ↓ -29% |
| Aetna | NBR ASO/FI | $6,838.65 | ↓ -29% |
| Cigna | New Business ASO | $6,838.65 | ↓ -29% |
| InterGroup | PPO | $6,838.65 | ↓ -29% |
| Coventry/First Health | Commercial | $7,364.70 | ↓ -23% |
| Preferred Healthcare System | PPO | $8,416.80 | ↓ -12% |
| Private Health Care Systems | PPO | $9,468.90 | ↓ -1% |
| SelectCare | Commercial | $9,468.90 | ↓ -1% |
| Health Coalition Partners | Intergroup | $9,468.90 | ↓ -1% |
| Humana | Commercial | $9,468.90 | ↓ -1% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $12,149.32 | ↑ +26% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $14,966.80 | ↑ +56% |
| UPMC Health Plan | CHIP | $18,468.91 | ↑ +92% |
| UPMC Health Plan | Commercial | $22,373.11 | ↑ +133% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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System pcmkr dual chamber leadless micra av2 intrdcr cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,250.00 | $0.19 – $18,468.91 |
| UPMC Cole | Coudersport | $6,752.40 | $2,138.26 – $9,003.20 |
| UPMC Community Osteopathic | Harrisburg | $9,256.80 | $3,085.60 – $23,061.01 |
| UPMC East | Monroeville | $25,932.00 | $4,422.80 – $21,512.80 |
| UPMC Hamot | Erie | $24,756.60 | $4,381.08 – $4,381.08 |
| UPMC Northwest | Seneca | $7,169.40 | $11,370.59 – $22,349.03 |
| UPMC Horizon-Greenville | Greenville | $6,763.80 | $11,165.53 – $18,468.91 |
| UPMC Jameson | New Castle | $7,450.20 | $275.42 – $18,468.91 |