Target gsa panel organ/hmtlmph neop at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$5,739.00
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.
$9,565.00
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.
$1,053.39 with Aetna of PA vs $20,567.62 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 | $1,053.39 | ↓ -82% |
| Cigna | EBR | $1,618.00 | ↓ -72% |
| Aetna | EBR ASO | $1,618.00 | ↓ -72% |
| Cigna | Commercial | $1,618.00 | ↓ -72% |
| Aetna | EBR FI | $1,982.05 | ↓ -65% |
| United Healthcare | Compass Exchange | $2,224.75 | ↓ -61% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,335.68 | ↓ -59% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $2,452.46 | ↓ -57% |
| Aetna | Neighborhood Network | $2,507.90 | ↓ -56% |
| UPMC Health Plan | Managed Medicare | $2,517.86 | ↓ -56% |
| UPMC Health Plan | Managed Medicaid | $2,569.25 | ↓ -55% |
| Aetna | Home Depot Employer Group | $2,576.66 | ↓ -55% |
| Aetna | NBR ASO/FI | $2,629.25 | ↓ -54% |
| United Healthcare | All Business | $2,629.25 | ↓ -54% |
| InterGroup | PPO | $2,629.25 | ↓ -54% |
| Cigna | New Business ASO | $2,629.25 | ↓ -54% |
| Cigna | NBR ASO/FI | $2,629.25 | ↓ -54% |
| United Healthcare Community Plan for Families | Unison Kids | $2,686.03 | ↓ -53% |
| Coventry/First Health | Commercial | $2,831.50 | ↓ -51% |
| UPMC Work Partners | Workers Comp | $2,885.51 | ↓ -50% |
| Aetna | Medicaid | $2,919.60 | ↓ -49% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,919.60 | ↓ -49% |
| Aetna | Medicare | $3,007.19 | ↓ -48% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,013.61 | ↓ -47% |
| United Healthcare | Medicare | $3,123.97 | ↓ -46% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,152.88 | ↓ -45% |
| Cigna | Medicare | $3,153.17 | ↓ -45% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,153.17 | ↓ -45% |
| AmeriHealth Caritas | Medicare | $3,153.17 | ↓ -45% |
| Preferred Healthcare System | PPO | $3,236.00 | ↓ -44% |
| Geisinger | Medicaid/CHIP | $3,246.36 | ↓ -43% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3,463.81 | ↓ -40% |
| Private Health Care Systems | PPO | $3,640.50 | ↓ -37% |
| Health Coalition Partners | Intergroup | $3,640.50 | ↓ -37% |
| SelectCare | Commercial | $3,640.50 | ↓ -37% |
| Humana | Commercial | $3,640.50 | ↓ -37% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,646.23 | ↓ -36% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,980.47 | ↓ -31% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $5,134.65 | ↓ -11% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $6,325.40 | ↑ +10% |
| UPMC Health Plan | Commercial | $17,397.64 | ↑ +203% |
| UPMC Health Plan | CHIP | $20,567.62 | ↑ +258% |
Visitor-reported prices
Comments
Target gsa panel organ/hmtlmph neop at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $8,581.80 | $1,851.57 – $7,228.00 |
| UPMC East | Monroeville | $7,632.00 | $1,869.20 – $7,652.00 |
| UPMC Hamot | Erie | $7,632.00 | $1,851.57 – $3,246.36 |
| UPMC Northwest | Seneca | $5,739.00 | $2,569.25 – $3,153.17 |
| UPMC Horizon-Greenville | Greenville | $5,739.00 | $2,335.68 – $3,246.36 |
| UPMC Jameson | New Castle | $5,739.00 | $1,884.24 – $3,153.17 |
| UPMC Magee | Pittsburgh | $9,920.40 | $1,869.20 – $3,980.47 |
| UPMC McKeesport | Mckeesport | $5,739.00 | $1,869.20 – $3,211.56 |