CMS Price Transparency Data

CT scan, sinuses

Facility: UPMC Bedford Memorial

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$128
about 1.2× the $107 Medicare rate · typically $109–$175
modeled estimate · not a bill or quote
What this hospital charges insurers
$146
About the fair price
about $18 over the fair price · 1.4× Medicare
Medicare pays $107 Fair price $128 This hospital $146 Cash price $741 Hospital's list price $1,235

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $88 Priciest $146

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, sinuses is about $128 (about 1.2× the $107 Medicare rate). UPMC Bedford Memorial charges insurers about $146, or about $741 in cash — about the fair price. Located in Everett, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $108 - $827 101%
Blue Cross Blue Shieldmajor $101 - $928 95%
Aetnamajor $37 - $827 35%
Cignamajor $109 - $827 102%
Humanamajor $1,112 1041%
AmeriHealth $109 - $203 102%
Geisinger $181 169%
HealthPartners $196 184%
UPMC Health Plan $87 - $849 81%
+ 5 smaller / regional plans $109 - $1,112
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 10455 Lincoln Highway, Everett, PA 15537
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals