UPMC · Everett, PA
27
In-network payers
167
Disclosed rate categories
40
Beds
4
Care quality
Upmc Bedford is a 40-bed voluntary non-profit - private hospital in Everett, PA, affiliated with UPMC. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 167 disclosed rate categories.
CCN (Medicare provider number)
390117
NPI
1295724193
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
40
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Upmc Bedford most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Gynecology
CPT 58558
$2,521 - $7,804
from 3 insurers · median $3,278
13 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74177
$1,189 - $2,669
from 4 insurers · median $1,784
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$663 - $5,932
from 3 insurers · median $4,400
80 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74176
$1,018 - $1,775
from 4 insurers · median $1,562
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$469 - $888
from 4 insurers · median $685
Common here, based on CMS Medicare volume
Urology
CPT 50590
$23,452
negotiated rate
25 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$1,097 - $1,642
from 4 insurers · median $1,223
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$1,757 - $3,643
from 4 insurers · median $2,643
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$983 - $2,518
from 4 insurers · median $1,998
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,011 - $2,211
from 4 insurers · median $1,752
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,027 - $2,577
from 4 insurers · median $1,980
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$852 - $1,712
from 4 insurers · median $1,001
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$1,720 - $3,412
from 4 insurers · median $2,757
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,942 - $8,740
from 2 insurers · median $6,841
Typical for a hospital with this service line
Mammography
CPT 77067
$135 - $299
from 4 insurers · median $158
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,566 - $2,578
from 4 insurers · median $2,157
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$1,118 - $1,911
from 4 insurers · median $1,497
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$13,735 - $19,611
from 2 insurers · median $16,673
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 72148
$1,071 - $2,007
from 4 insurers · median $1,513
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$5,743 - $7,575
from 2 insurers · median $6,659
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,479 - $2,236
from 3 insurers · median $1,571
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$8,410 - $14,196
from 2 insurers · median $11,303
Hospital reports inpatient surgical services to CMS
X-ray and bone density
CPT 71046
$39 - $232
from 4 insurers · median $93
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$3,278 - $5,629
from 3 insurers · median $5,545
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 16 | 265% | 6 | 9 |
| Insurer B* | 22 | 262% | 20 | 1 |
| Insurer C* | 20 | 232% | 10 | 6 |
| Insurer D* | 23 | 210% | 13 | 8 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Upmc Bedford.
10455 Lincoln Highway, Everett, PA 15537
(814) 623-6161
The nearest hospitals of similar type and size. Their rates are compared with Upmc Bedford for the same insurers and services above.
Nason Hospital
▼ Rates typically 40% lower than Upmc Bedford (22 services)
Windber Medical Center
▼ Rates typically 57% lower than Upmc Bedford (24 services)
Penn Highlands Huntingdon
Rates about the same as Upmc Bedford (24 services)
Wellspan Waynesboro Hospital
▲ Rates typically 70% higher than Upmc Bedford (22 services)
Conemaugh Miners Medical Center
▼ Rates typically 25% lower than Upmc Bedford (17 services)
Wellspan Gettysburg Hospital
▲ Rates typically 8% higher than Upmc Bedford (23 services)
Upmc Kane
Upmc Somerset
Upmc Community Osteopathic
Upmc Hamot
About Upmc Bedford's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Upmc Bedford range from $1,757 to $3,643 across 4 insurers. Cigna's rate is $2,524. The median at nearby comparable hospitals is $1,241. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Upmc Bedford range from $1,189 to $2,669 across 4 insurers. Aetna's rate is $2,669. The median at nearby comparable hospitals is $1,017. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Upmc Bedford range from $1,011 to $2,211 across 4 insurers. Aetna's rate is $2,121. The median at nearby comparable hospitals is $1,383. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Upmc Bedford range from $135 to $299 across 4 insurers. Cigna's rate is $135. The median at nearby comparable hospitals is $231. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Upmc Bedford range from $13,735 to $19,611 across 2 insurers. Blue Cross Blue Shield's rate is $19,611. The median at nearby comparable hospitals is $19,528. What a patient pays depends on their plan's deductible, coinsurance and network status.
Upmc Bedford has 40 beds. Facility type: Short Term Acute Care Hospital.
Upmc Bedford is located at 10455 Lincoln Highway, Everett, PA 15537. Its main phone number is (814) 623-6161.
Upmc Bedford's CMS Certification Number (CCN), also called its Medicare provider number, is 390117.
The National Provider Identifier (NPI) on file for Upmc Bedford is 1295724193.
Upmc Bedford is affiliated with UPMC.
Upmc Bedford lists 27 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
167 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers