X-ray sacroiliac joints >= 3 views at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$108.00
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.
$180.00
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.
$26.57 with United Healthcare Community Plan for Families vs $162.00 with Private Health Care Systems — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | Unison MedPLUS | $26.57 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $27.83 | ↓ -74% |
| United Healthcare Community Plan for Families | Unison Kids | $29.09 | ↓ -73% |
| Aetna | Medicaid | $31.62 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $35.16 | ↓ -67% |
| UPMC Health Plan | Commercial | $35.48 | ↓ -67% |
| Aetna of PA | Medicare | $36.58 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicaid | $37.52 | ↓ -65% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $38.15 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $39.50 | ↓ -63% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $43.12 | ↓ -60% |
| Cigna | EBR | $72.00 | ↓ -33% |
| Cigna | Commercial | $72.00 | ↓ -33% |
| Aetna | EBR ASO | $72.00 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $77.61 | ↓ -28% |
| UPMC Health Plan | Managed Medicare | $87.43 | ↓ -19% |
| Aetna | EBR FI | $88.20 | ↓ -18% |
| United Healthcare | Compass Exchange | $99.00 | ↓ -8% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $101.38 | ↓ -6% |
| Aetna | Medicare | $104.42 | ↓ -3% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $104.64 | ↓ -3% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $106.29 | ↓ -2% |
| United Healthcare | Medicare | $108.48 | ↑ +0% |
| Highmark Wholecare (prev Gateway) | Medicare | $109.48 | ↑ +1% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $109.49 | ↑ +1% |
| Cigna | Medicare | $109.49 | ↑ +1% |
| AmeriHealth Caritas | Medicare | $109.49 | ↑ +1% |
| Aetna | Neighborhood Network | $111.60 | ↑ +3% |
| Aetna | Home Depot Employer Group | $114.66 | ↑ +6% |
| Cigna | NBR ASO/FI | $117.00 | ↑ +8% |
| InterGroup | PPO | $117.00 | ↑ +8% |
| Aetna | NBR ASO/FI | $117.00 | ↑ +8% |
| United Healthcare | All Business | $117.00 | ↑ +8% |
| Cigna | New Business ASO | $117.00 | ↑ +8% |
| Coventry/First Health | Commercial | $126.00 | ↑ +17% |
| UPMC Health Plan | CHIP | $127.23 | ↑ +18% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $130.94 | ↑ +21% |
| Preferred Healthcare System | PPO | $144.00 | ↑ +33% |
| Humana | Commercial | $162.00 | ↑ +50% |
| SelectCare | Commercial | $162.00 | ↑ +50% |
| Health Coalition Partners | Intergroup | $162.00 | ↑ +50% |
| Private Health Care Systems | PPO | $162.00 | ↑ +50% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
X-ray sacroiliac joints >= 3 views at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $222.60 | $16.50 – $296.80 |
| UPMC Carlisle | Carlisle | $262.80 | $21.61 – $372.30 |
| UPMC Cole | Coudersport | $192.60 | $26.57 – $256.80 |
| UPMC Community Osteopathic | Harrisburg | $262.80 | $21.61 – $372.30 |
| UPMC East | Monroeville | $436.20 | $27.83 – $581.60 |
| UPMC Hamot | Erie | $375.00 | $21.89 – $166.40 |
| UPMC Northwest | Seneca | $154.80 | $27.83 – $106.45 |
| UPMC Hanover | Hanover | $262.80 | $21.61 – $162.54 |