Zika virus igm antibody at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$216.00
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.
$360.00
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.
$6.08 with Aetna of PA vs $130.50 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 | $6.08 | ↓ -97% |
| UPMC Health Plan | Managed Medicare | $14.53 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $16.64 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $16.65 | ↓ -92% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $16.85 | ↓ -92% |
| Aetna | Medicare | $17.36 | ↓ -92% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $17.39 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $17.47 | ↓ -92% |
| United Healthcare | Medicare | $18.03 | ↓ -92% |
| Cigna | Medicare | $18.20 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $18.20 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $18.20 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18.20 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $18.30 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison Kids | $19.14 | ↓ -91% |
| Aetna | Medicaid | $20.80 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $23.13 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $24.68 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $25.98 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $28.36 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $36.60 | ↓ -83% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $45.09 | ↓ -79% |
| Aetna | EBR ASO | $58.00 | ↓ -73% |
| Cigna | Commercial | $58.00 | ↓ -73% |
| Cigna | EBR | $58.00 | ↓ -73% |
| Aetna | EBR FI | $71.05 | ↓ -67% |
| United Healthcare | Compass Exchange | $79.75 | ↓ -63% |
| UPMC Health Plan | Commercial | $84.79 | ↓ -61% |
| Aetna | Neighborhood Network | $89.90 | ↓ -58% |
| Aetna | Home Depot Employer Group | $92.36 | ↓ -57% |
| InterGroup | PPO | $94.25 | ↓ -56% |
| United Healthcare | All Business | $94.25 | ↓ -56% |
| Cigna | New Business ASO | $94.25 | ↓ -56% |
| Cigna | NBR ASO/FI | $94.25 | ↓ -56% |
| Aetna | NBR ASO/FI | $94.25 | ↓ -56% |
| UPMC Health Plan | CHIP | $100.24 | ↓ -54% |
| Coventry/First Health | Commercial | $101.50 | ↓ -53% |
| Preferred Healthcare System | PPO | $116.00 | ↓ -46% |
| Health Coalition Partners | Intergroup | $130.50 | ↓ -40% |
| SelectCare | Commercial | $130.50 | ↓ -40% |
| Private Health Care Systems | PPO | $130.50 | ↓ -40% |
| Humana | Commercial | $130.50 | ↓ -40% |
Visitor-reported prices
Comments
Zika virus igm antibody at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $250.20 | $13.20 – $88.80 |
| UPMC Horizon-Greenville | Greenville | $221.40 | $15.09 – $23.13 |
| UPMC Jameson | New Castle | $50.40 | $13.43 – $19.14 |
| UPMC Magee | Pittsburgh | $54.00 | $13.32 – $28.36 |
| UPMC Mercy | Pittsburgh | $108.00 | $13.20 – $19.14 |
| UPMC Passavant-McCandless | Pittsburgh | $58.80 | $13.32 – $19.36 |
| UPMC Presbyterian | Pittsburgh | $236.40 | $13.32 – $25.90 |