Target gsa panel hmtlmph neop at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$1,353.00
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.
$2,255.00
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.
$274.04 with Aetna of PA vs $4,924.81 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 |
|---|---|---|---|
| Aetna of PA | Medicare | $274.04 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $607.62 | ↓ -55% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $638.00 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $655.02 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $668.38 | ↓ -51% |
| United Healthcare Community Plan for Families | Unison Kids | $698.76 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $750.66 | ↓ -45% |
| Aetna | Medicaid | $759.52 | ↓ -44% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $759.53 | ↓ -44% |
| Aetna | Medicare | $782.32 | ↓ -42% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $783.99 | ↓ -42% |
| United Healthcare | Medicare | $812.70 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicare | $820.22 | ↓ -39% |
| AmeriHealth Caritas | Medicare | $820.29 | ↓ -39% |
| Cigna | Medicare | $820.29 | ↓ -39% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $820.29 | ↓ -39% |
| Geisinger | Medicaid/CHIP | $844.53 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicaid | $901.10 | ↓ -33% |
| Cigna | EBR | $902.00 | ↓ -33% |
| Aetna | EBR ASO | $902.00 | ↓ -33% |
| Cigna | Commercial | $902.00 | ↓ -33% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $948.56 | ↓ -30% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,035.51 | ↓ -23% |
| Aetna | EBR FI | $1,104.95 | ↓ -18% |
| United Healthcare | Compass Exchange | $1,240.25 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,256.51 | ↓ -7% |
| Aetna | Neighborhood Network | $1,398.10 | ↑ +3% |
| Aetna | Home Depot Employer Group | $1,436.43 | ↑ +6% |
| Aetna | NBR ASO/FI | $1,465.75 | ↑ +8% |
| InterGroup | PPO | $1,465.75 | ↑ +8% |
| United Healthcare | All Business | $1,465.75 | ↑ +8% |
| Cigna | New Business ASO | $1,465.75 | ↑ +8% |
| Cigna | NBR ASO/FI | $1,465.75 | ↑ +8% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,547.90 | ↑ +14% |
| Coventry/First Health | Commercial | $1,578.50 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,804.00 | ↑ +33% |
| SelectCare | Commercial | $2,029.50 | ↑ +50% |
| Humana | Commercial | $2,029.50 | ↑ +50% |
| Health Coalition Partners | Intergroup | $2,029.50 | ↑ +50% |
| Private Health Care Systems | PPO | $2,029.50 | ↑ +50% |
| UPMC Health Plan | Commercial | $4,165.77 | ↑ +208% |
| UPMC Health Plan | CHIP | $4,924.81 | ↑ +264% |
Visitor-reported prices
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Target gsa panel hmtlmph neop at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,594.40 | $453.10 – $820.29 |
| UPMC Cole | Coudersport | $3,256.20 | $53.00 – $4,341.60 |
| UPMC East | Monroeville | $3,169.80 | $330.00 – $844.53 |
| UPMC Hamot | Erie | $9,390.00 | $89.83 – $844.53 |
| UPMC Northwest | Seneca | $7,146.00 | $668.38 – $820.29 |
| UPMC Horizon-Greenville | Greenville | $2,858.40 | $607.62 – $844.53 |
| UPMC Jameson | New Castle | $7,146.00 | $89.83 – $820.29 |
| UPMC Magee | Pittsburgh | $9,245.40 | $457.42 – $1,035.51 |