Zika virus dna/rna amp probe at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$264.60
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.
$441.00
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.
$18.51 with Aetna of PA vs $396.90 with Humana — 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 | $18.51 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $44.25 | ↓ -83% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $50.68 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $50.71 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $51.31 | ↓ -81% |
| Aetna | Medicare | $52.85 | ↓ -80% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $52.96 | ↓ -80% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $53.21 | ↓ -80% |
| United Healthcare | Medicare | $54.90 | ↓ -79% |
| Cigna | Medicare | $55.41 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $55.41 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $55.41 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $55.41 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $55.75 | ↓ -79% |
| United Healthcare Community Plan for Families | Unison Kids | $58.28 | ↓ -78% |
| Aetna | Medicaid | $63.35 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $70.44 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $75.16 | ↓ -72% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $79.12 | ↓ -70% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $86.37 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $111.39 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $137.23 | ↓ -48% |
| Aetna | EBR ASO | $176.40 | ↓ -33% |
| Cigna | Commercial | $176.40 | ↓ -33% |
| Cigna | EBR | $176.40 | ↓ -33% |
| Aetna | EBR FI | $216.09 | ↓ -18% |
| United Healthcare | Compass Exchange | $242.55 | ↓ -8% |
| UPMC Health Plan | Commercial | $258.21 | ↓ -2% |
| Aetna | Neighborhood Network | $273.42 | ↑ +3% |
| Aetna | Home Depot Employer Group | $280.92 | ↑ +6% |
| InterGroup | PPO | $286.65 | ↑ +8% |
| United Healthcare | All Business | $286.65 | ↑ +8% |
| Cigna | New Business ASO | $286.65 | ↑ +8% |
| Cigna | NBR ASO/FI | $286.65 | ↑ +8% |
| Aetna | NBR ASO/FI | $286.65 | ↑ +8% |
| UPMC Health Plan | CHIP | $305.26 | ↑ +15% |
| Coventry/First Health | Commercial | $308.70 | ↑ +17% |
| Preferred Healthcare System | PPO | $352.80 | ↑ +33% |
| Health Coalition Partners | Intergroup | $396.90 | ↑ +50% |
| SelectCare | Commercial | $396.90 | ↑ +50% |
| Private Health Care Systems | PPO | $396.90 | ↑ +50% |
| Humana | Commercial | $396.90 | ↑ +50% |
Visitor-reported prices
Comments
Zika virus dna/rna amp probe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $202.80 | $40.17 – $270.40 |
| UPMC Horizon-Greenville | Greenville | $155.40 | $45.94 – $70.44 |
| UPMC Jameson | New Castle | $155.40 | $40.88 – $58.28 |
| UPMC Kane | Kane | $130.20 | $50.71 – $221.45 |
| UPMC Magee | Pittsburgh | $165.00 | $40.55 – $86.37 |
| UPMC Passavant-McCandless | Pittsburgh | $179.40 | $40.55 – $58.97 |
| UPMC Presbyterian | Pittsburgh | $225.00 | $40.55 – $78.89 |