Tc-99m mebrofenin at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$213.60
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.
$356.00
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.
$89.00 with Aetna vs $364.49 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 | Medicare | $89.00 | ↓ -58% |
| Cigna | Commercial | $142.40 | ↓ -33% |
| Cigna | EBR | $142.40 | ↓ -33% |
| Aetna | EBR ASO | $142.40 | ↓ -33% |
| Aetna | EBR FI | $174.44 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $178.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $195.80 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $195.80 | ↓ -8% |
| United Healthcare | Compass Exchange | $202.92 | ↓ -5% |
| Aetna | Neighborhood Network | $220.72 | ↑ +3% |
| Aetna | Home Depot Employer Group | $226.77 | ↑ +6% |
| Cigna | NBR ASO/FI | $231.40 | ↑ +8% |
| Aetna | NBR ASO/FI | $231.40 | ↑ +8% |
| Cigna | New Business ASO | $231.40 | ↑ +8% |
| InterGroup | PPO | $231.40 | ↑ +8% |
| United Healthcare | All Business | $238.52 | ↑ +12% |
| Coventry/First Health | Commercial | $249.20 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $277.63 | ↑ +30% |
| Preferred Healthcare System | PPO | $284.80 | ↑ +33% |
| UPMC Health Plan | CHIP | $300.89 | ↑ +41% |
| Private Health Care Systems | PPO | $320.40 | ↑ +50% |
| Humana | Commercial | $320.40 | ↑ +50% |
| SelectCare | Commercial | $320.40 | ↑ +50% |
| Health Coalition Partners | Intergroup | $320.40 | ↑ +50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $342.02 | ↑ +60% |
| UPMC Health Plan | Commercial | $364.49 | ↑ +71% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m mebrofenin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $198.00 | $100.11 – $340.38 |
| UPMC Carlisle | Carlisle | $94.80 | $21.65 – $134.30 |
| UPMC Cole | Coudersport | $250.80 | $63.06 – $334.40 |
| UPMC Community Osteopathic | Harrisburg | $94.80 | $31.60 – $300.89 |
| UPMC East | Monroeville | $571.20 | $101.07 – $761.60 |
| UPMC Hamot | Erie | $250.80 | $56.42 – $308.90 |
| UPMC Northwest | Seneca | $327.00 | $259.84 – $364.10 |
| UPMC Hanover | Hanover | $94.80 | $79.55 – $300.89 |