Warde thyroid stimulating immunoglobulins at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$201.60
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.
?
What you pay up front if you don't use insurance.
$336.00
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.
$18.35 with Aetna of PA vs $312.36 with Highmark BCBS of PA — 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 | $18.35 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $20.00 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $21.00 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $22.00 | ↓ -89% |
| United Healthcare Community Plan for Families | Unison Kids | $23.00 | ↓ -89% |
| Aetna | Medicaid | $25.00 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $27.80 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.66 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $31.22 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $34.08 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $43.86 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $50.27 | ↓ -75% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $50.86 | ↓ -75% |
| Aetna | Medicare | $52.39 | ↓ -74% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $52.50 | ↓ -74% |
| United Healthcare | Medicare | $54.42 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $54.92 | ↓ -73% |
| AmeriHealth Caritas | Medicare | $54.93 | ↓ -73% |
| Cigna | Medicare | $54.93 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $54.93 | ↓ -73% |
| UPMC Health Plan | Commercial | $71.51 | ↓ -65% |
| Aetna | EBR ASO | $134.40 | ↓ -33% |
| Cigna | EBR | $134.40 | ↓ -33% |
| Cigna | Commercial | $134.40 | ↓ -33% |
| Aetna | EBR FI | $164.64 | ↓ -18% |
| United Healthcare | Compass Exchange | $184.80 | ↓ -8% |
| Aetna | Neighborhood Network | $208.32 | ↑ +3% |
| Aetna | Home Depot Employer Group | $214.03 | ↑ +6% |
| Cigna | NBR ASO/FI | $218.40 | ↑ +8% |
| United Healthcare | All Business | $218.40 | ↑ +8% |
| Aetna | NBR ASO/FI | $218.40 | ↑ +8% |
| Cigna | New Business ASO | $218.40 | ↑ +8% |
| InterGroup | PPO | $218.40 | ↑ +8% |
| Coventry/First Health | Commercial | $235.20 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $253.56 | ↑ +26% |
| UPMC Health Plan | CHIP | $256.42 | ↑ +27% |
| Preferred Healthcare System | PPO | $268.80 | ↑ +33% |
| SelectCare | Commercial | $302.40 | ↑ +50% |
| Private Health Care Systems | PPO | $302.40 | ↑ +50% |
| Health Coalition Partners | Intergroup | $302.40 | ↑ +50% |
| Humana | Commercial | $302.40 | ↑ +50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $312.36 | ↑ +55% |
Visitor-reported prices
Comments
Warde thyroid stimulating immunoglobulins at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $500.40 | $20.00 – $667.20 |
| UPMC Carlisle | Carlisle | $183.60 | $20.00 – $146.20 |
| UPMC Cole | Coudersport | $233.40 | $21.00 – $311.20 |
| UPMC Community Osteopathic | Harrisburg | $183.60 | $20.00 – $256.42 |
| UPMC East | Monroeville | $706.20 | $20.00 – $941.60 |
| UPMC Hamot | Erie | $633.60 | $20.00 – $91.43 |
| UPMC Northwest | Seneca | $492.00 | $22.00 – $53.40 |
| UPMC Hanover | Hanover | $183.60 | $20.00 – $81.38 |