healthcosts.net
Urine Culture Test at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$58.80
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.
?
What you pay up front if you don't use insurance.
$98.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2.91 with Aetna of PA vs $88.20 with SelectCare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $2.91 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $6.96 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $7.98 | ↓ -86% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $8.00 | ↓ -86% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $8.07 | ↓ -86% |
| Aetna | Medicare | $8.31 | ↓ -86% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $8.33 | ↓ -86% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $8.40 | ↓ -86% |
| United Healthcare | Medicare | $8.63 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $8.71 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $8.72 | ↓ -85% |
| Cigna | Medicare | $8.72 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $8.72 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $8.80 | ↓ -85% |
| United Healthcare Community Plan for Families | Unison Kids | $9.20 | ↓ -84% |
| Aetna | Medicaid | $10.00 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $11.12 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.86 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.49 | ↓ -79% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $13.63 | ↓ -77% |
| UPMC Health Plan | Commercial | $13.79 | ↓ -77% |
| Cigna | EBR | $39.20 | ↓ -33% |
| Cigna | Commercial | $39.20 | ↓ -33% |
| Aetna | EBR ASO | $39.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $42.68 | ↓ -27% |
| Aetna | EBR FI | $48.02 | ↓ -18% |
| UPMC Health Plan | CHIP | $49.45 | ↓ -16% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $52.58 | ↓ -11% |
| United Healthcare | Compass Exchange | $53.90 | ↓ -8% |
| Aetna | Neighborhood Network | $60.76 | ↑ +3% |
| Aetna | Home Depot Employer Group | $62.43 | ↑ +6% |
| Cigna | NBR ASO/FI | $63.70 | ↑ +8% |
| Aetna | NBR ASO/FI | $63.70 | ↑ +8% |
| Cigna | New Business ASO | $63.70 | ↑ +8% |
| United Healthcare | All Business | $63.70 | ↑ +8% |
| InterGroup | PPO | $63.70 | ↑ +8% |
| Coventry/First Health | Commercial | $68.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $78.40 | ↑ +33% |
| Health Coalition Partners | Intergroup | $88.20 | ↑ +50% |
| Private Health Care Systems | PPO | $88.20 | ↑ +50% |
| Humana | Commercial | $88.20 | ↑ +50% |
| SelectCare | Commercial | $88.20 | ↑ +50% |
Visitor-reported prices
Comments
Urine Culture Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $118.20 | $7.98 – $157.60 |
| UPMC Passavant-McCandless | Pittsburgh | $255.60 | $7.50 – $342.55 |
| UPMC Hamot | Erie | $62.40 | $7.98 – $72.80 |
| UPMC Carlisle | Carlisle | $45.00 | $7.99 – $63.75 |
| UPMC Altoona | Altoona | $103.20 | $7.98 – $137.60 |
| UPMC Cole | Coudersport | $57.60 | $5.25 – $76.80 |
| UPMC Community Osteopathic | Harrisburg | $45.00 | $7.99 – $63.75 |
| UPMC Hanover | Hanover | $45.00 | $7.99 – $65.25 |