Trg gene rearrangement anal at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$1,114.20
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.
$1,857.00
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.
$72.70 with Aetna of PA vs $965.70 with SelectCare — 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 | $72.70 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $173.77 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $199.14 | ↓ -82% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $201.50 | ↓ -82% |
| Aetna | Medicare | $207.54 | ↓ -81% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $207.99 | ↓ -81% |
| United Healthcare | Medicare | $215.60 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $217.60 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $217.62 | ↓ -80% |
| Cigna | Medicare | $217.62 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $217.62 | ↓ -80% |
| UPMC Health Plan | Commercial | $256.20 | ↓ -77% |
| Aetna | EBR ASO | $429.20 | ↓ -61% |
| Cigna | EBR | $429.20 | ↓ -61% |
| Cigna | Commercial | $429.20 | ↓ -61% |
| Aetna | EBR FI | $525.77 | ↓ -53% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $590.15 | ↓ -47% |
| Geisinger | Medicaid/CHIP | $590.15 | ↓ -47% |
| United Healthcare | Compass Exchange | $590.15 | ↓ -47% |
| Aetna | Neighborhood Network | $665.26 | ↓ -40% |
| Aetna | Home Depot Employer Group | $683.50 | ↓ -39% |
| Cigna | NBR ASO/FI | $697.45 | ↓ -37% |
| United Healthcare | All Business | $697.45 | ↓ -37% |
| Aetna | NBR ASO/FI | $697.45 | ↓ -37% |
| Cigna | New Business ASO | $697.45 | ↓ -37% |
| InterGroup | PPO | $697.45 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $706.40 | ↓ -37% |
| Coventry/First Health | Commercial | $751.10 | ↓ -33% |
| Preferred Healthcare System | PPO | $858.40 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $870.22 | ↓ -22% |
| UPMC Health Plan | CHIP | $918.68 | ↓ -18% |
| Health Coalition Partners | Intergroup | $965.70 | ↓ -13% |
| Humana | Commercial | $965.70 | ↓ -13% |
| Private Health Care Systems | PPO | $965.70 | ↓ -13% |
| SelectCare | Commercial | $965.70 | ↓ -13% |
Visitor-reported prices
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Trg gene rearrangement anal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $950.40 | $199.14 – $405.60 |
| UPMC Cole | Coudersport | $908.40 | $53.00 – $1,211.20 |
| UPMC East | Monroeville | $1,114.20 | $172.26 – $417.60 |
| UPMC Hamot | Erie | $1,148.40 | $199.14 – $254.73 |
| UPMC Northwest | Seneca | $1,051.20 | $182.74 – $217.62 |
| UPMC Horizon-Greenville | Greenville | $1,114.20 | $180.40 – $378.11 |
| UPMC Jameson | New Castle | $1,114.80 | $141.36 – $259.22 |
| UPMC Magee | Pittsburgh | $1,114.80 | $188.58 – $257.16 |