▸ Hospital · PA · CCN 390117

UPMC Bedford

10455 LINCOLN HIGHWAY, EVERETT, PA, 15537

35 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
154
of 209 target codes
Payers
17
with negotiated rates
Rates published
40,586
last crawl 2026-05-24

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
behavioral
PsychosesMS-DRG8857$7,821.24$11,123$12,388
emergency
ED visit level 1CPT9928116$359$215.4$30.29$222.58$323.1
ED visit level 2CPT9928217$542$325.2$34.63$290.91$487.8
ED visit level 3CPT9928317$716$429.6$59.48$387.72$644.4
ED visit level 4CPT9928417$1,076$645.6$100.1$559.52$968.4
ED visit level 5CPT9928517$1,506$903.6$145.68$783.12$1,355.4
Critical care, first hourCPT9929117$1,813$1,087.8$159.21$942.76$1,631.7
imaging
CT head without contrastCPT7045017$1,235$741$36.58$739.89$1,111.5
CT head with contrastCPT7046017$1,456$873.6$61.23$882.58$1,310.4
CT head with and without contrastCPT7047017$1,596$957.6$61.23$989.52$1,436.4
CT neck with contrastCPT7049117$1,413$847.8$61.23$876.06$1,271.7
MRI brain without contrastCPT7055117$2,842$1,705.2$83.15$1,690.99$2,557.8
MRI brain with contrastCPT7055217$7,611$4,566.6$122.85$3,957.72$6,849.9
MRI brain with and without contrastCPT7055317$4,807$2,884.2$122.85$2,980.34$4,326.3
Chest X-ray single viewCPT7104517$167$100.2$16.25$93.52$150.3
Chest X-ray 2 viewsCPT7104617$193$115.8$24.82$108.08$173.7
Chest X-ray 3 viewsCPT7104717$209$125.4$30.29$117.04$227.64
CT chest without contrastCPT7125017$1,413$847.8$36.58$876.06$1,271.7
CT chest with contrastCPT7126017$1,596$957.6$61.23$989.52$1,436.4
CT chest with and without contrastCPT7127017$1,804$1,082.4$61.23$1,118.48$1,623.6
MRI chest without contrastCPT7155017$6,010$3,606$83.15$3,125.2$5,409
MRI chest with and without contrastCPT7155217$10,898$6,538.8$122.85$5,666.96$9,808.2
Lumbosacral spine X-rayCPT7210017$193$115.8$34.16$119.03$173.7
CT cervical spine without contrastCPT7212517$1,413$847.8$36.58$876.06$1,271.7
CT thoracic spine without contrastCPT7212817$1,413$847.8$36.58$876.06$1,271.7
CT lumbar spine without contrastCPT7213117$1,413$847.8$36.58$876.06$1,271.7
MRI cervical spine without contrastCPT7214117$2,842$1,705.2$83.15$1,690.99$2,557.8
MRI thoracic spine without contrastCPT7214617$2,842$1,705.2$83.15$1,750.9$2,557.8
MRI lumbar spine without contrastCPT7214817$2,842$1,705.2$83.15$1,739.98$2,557.8
MRI lumbar spine with and without contrastCPT7214917$6,696$4,017.6$122.85$3,481.92$6,026.4
MRI cervical spine with and without contrastCPT7215617$4,860$2,916$122.85$3,013.2$4,374
MRI lumbar spine with contrastCPT7215817$4,807$2,884.2$122.85$2,980.34$4,326.3
CT pelvis without contrastCPT7219217$1,413$847.8$36.58$876.06$1,271.7
CT pelvis with contrastCPT7219317$1,596$957.6$61.23$989.52$1,436.4
Shoulder X-rayCPT7303016$213$127.8$28.72$132.06$191.7
Humerus X-rayCPT7306016$180$108$28.14$114.66$162
Hand X-ray 3 viewsCPT7313016$193$115.8$26.89$119.66$173.7
MRI upper extremity joint without contrastCPT7322116$2,842$1,705.2$83.15$1,810.35$2,557.8
MRI upper extremity joint with and without contrastCPT7322316$4,272$2,563.2$122.85$2,734.08$3,844.8
Knee X-ray 1-2 viewsCPT7356016$180$108$30.29$111.6$162
Ankle X-ray 3 viewsCPT7361016$180$108$26.38$113.73$162
MRI lower extremity joint without contrastCPT7372116$2,842$1,705.2$83.15$1,810.35$2,557.8
MRI lower extremity joint with and without contrastCPT7372316$4,272$2,563.2$122.85$2,734.08$3,844.8
CT abdomen without contrastCPT7415017$1,413$847.8$36.58$873.76$1,271.7
CT abdomen with contrastCPT7416017$1,596$957.6$61.23$989.52$1,436.4
CT abdomen with and without contrastCPT7417017$1,804$1,082.4$61.23$1,118.48$1,623.6
CT abdomen and pelvis without contrastCPT7417617$2,834$1,700.4$83.15$1,618.16$2,682.79
CT abdomen and pelvis with contrastCPT7417717$3,192$1,915.2$122.85$1,846.87$3,952.42
CT abdomen and pelvis with and without contrastCPT7417817$3,611$2,166.6$122.85$2,148.55$4,601.97
MRI abdomen without contrastCPT7418117$2,842$1,705.2$83.15$1,690.99$2,557.8
MRI abdomen with and without contrastCPT7418317$4,272$2,563.2$122.85$2,541.84$3,844.8
Abdominal ultrasound completeCPT7670017$1,097$658.2$36.58$570.44$987.3
Abdominal ultrasound limitedCPT7670517$485$291$36.58$287.86$436.5
Retroperitoneal ultrasound completeCPT7677017$1,348$808.8$36.58$700.96$1,213.2
Obstetric ultrasound first trimesterCPT7680117$694$416.4$36.58$412.93$624.6
Obstetric ultrasound after first trimesterCPT7680517$694$416.4$36.58$425.45$624.6
Obstetric ultrasound with fetal anatomyCPT7681117$3,761$2,256.6$83.15$1,955.72$3,384.9
Transvaginal ultrasoundCPT7683017$499$299.4$36.58$305.62$449.1
Pelvic ultrasound completeCPT7685617$499$299.4$36.58$305.62$449.1
Scrotal ultrasoundCPT7687017$499$299.4$36.58$300.34$449.1
Diagnostic mammography unilateralCPT7706516$837$502.2$107.53$533.17$753.3
Diagnostic mammography bilateralCPT7706616$1,015$609$136.34$649.6$913.5
Screening mammography bilateralCPT7706716$342$205.2$85.5$222.3$551.43
EKG tracing onlyCPT9300517$167$100.2$10.98$86.84$150.3
Transthoracic echocardiogram completeCPT9330617$3,127$1,876.2$148.07$1,626.04$2,814.3
Stress echocardiogramCPT9335017$1,610$966$80.33$901.6$1,449
inpatient
Intracranial hemorrhage/CVA w MCCMS-DRG0648$9,223.57$15,851$25,211
Intracranial hemorrhage/CVA w CCMS-DRG0658$7,700.08$8,316.09$15,838
Intracranial hemorrhage/CVA w/o CC/MCCMS-DRG0668$5,427.66$5,861.87$12,372
Respiratory infections & inflammations w MCCMS-DRG1778$9,223.57$12,475$19,429
COPD w MCCMS-DRG1908$8,379.22$9,049.56$13,109
COPD w CCMS-DRG1918$6,533.53$7,056.21$11,582
COPD w/o CC/MCCMS-DRG1928$5,132.02$5,542.58$9,247.79
Simple pneumonia & pleurisy w CCMS-DRG1948$6,274.87$6,776.86$10,972
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG1958$5,037.89$5,440.92$9,223.57
AMI discharged alive w MCCMS-DRG2808$9,223.57$12,787$19,681
AMI discharged alive w CCMS-DRG2818$7,064.16$7,629.29$13,575
AMI discharged alive w/o CC/MCCMS-DRG2828$5,697.52$6,153.32$12,247
Heart failure & shock w MCCMS-DRG2918$9,223.57$10,375$15,209
Heart failure & shock w CCMS-DRG2928$6,575.39$7,101.42$10,379
Heart failure & shock w/o CC/MCCMS-DRG2938$4,602.1$4,970.27$9,283.7
Cardiac arrhythmia w MCCMS-DRG3088$9,050.69$9,774.3$14,114
Cardiac arrhythmia w CCMS-DRG3098$5,785.36$6,248.19$9,223.57
Cardiac arrhythmia w/o CC/MCCMS-DRG3108$4,602.79$4,971.01$9,223.57
GI hemorrhage w CCMS-DRG3788$7,493.68$8,093.17$13,827
GI hemorrhage w/o CC/MCCMS-DRG3798$5,051.14$5,455.23$9,750.58
Esophagitis/gastroenteritis w/o MCCMS-DRG3928$6,091.47$6,578.79$9,319.62
Fractures of femur w/o MCCMS-DRG5337$11,587$12,514$27,438
Kidney/UTI w MCCMS-DRG6897$8,745.98$9,445.66$16,377
Kidney/UTI w/o MCCMS-DRG6907$6,299.96$6,803.96$8,960.48
Septicemia or severe sepsis w MV 96+ hrsMS-DRG8717$14,200$15,336$25,176
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG8727$7,790.72$8,413.98$12,857
lab
Basic metabolic panel (BMP)CPT8004817$98$58.8$3.05$58.31$88.2
Electrolyte panelCPT8005117$83$49.8$2.53$50.71$74.7
Comprehensive metabolic panelCPT8005317$111$66.6$3.81$68.82$99.9
Lipid panelCPT8006117$111$66.6$4.83$68.82$99.9
Renal function panelCPT8006917$98$58.8$3.13$60.76$88.2
Hepatic function panelCPT8007617$125$75$2.95$70$112.5
Urinalysis non-automatedCPT8100217$62$37.2$1.26$32.24$55.8
Urinalysis automatedCPT8100317$32$19.2$1.94$19.84$28.8
Glucose quantitativeCPT8294717$50$30$1.42$28$45
Hemoglobin A1cCPT8303617$111$66.6$3.5$65.63$99.9
Thyroid stimulating hormone (TSH)CPT8444317$152$91.2$6.06$92.15$136.8
Complete blood count with automated differentialCPT8502517$83$49.8$2.8$48.38$74.7
Complete blood count without differentialCPT8502717$126$75.6$2.33$65.52$113.4
Urine culture bacterialCPT8708617$98$58.8$2.91$53.24$88.2
Urine culture identificationCPT8708817$98$58.8$2.92$53.65$88.2
Tissue exam by pathologist level IVCPT8830517$167$100.2$18.38$101.84$156.82
maternity
Fetal non-stress testCPT5902517$594$356.4$18.38$364.56$534.6
Vaginal delivery onlyCPT5940916$17,332$10,399$822.32$10,746$15,599
office
Office visit, new patient, 15-29 minCPT9920217$360$216$36.08$226.26$324
Office visit, new patient, 30-44 minutesCPT9920317$382$229.2$36.08$240.09$343.8
Office visit, new patient, 45-59 minCPT9920417$479$287.4$36.08$301.05$431.1
Office visit, new patient, 60-74 minCPT9920517$593$355.8$36.08$372.7$533.7
Office visit, established patient, 5 minCPT9921117$139$83.4$21$87.36$125.1
Office visit, established patient, 10-19 minCPT9921217$174$104.4$27.3$109.36$156.6
Office visit, established patient, 20-29 minutesCPT9921317$202$121.2$36.08$126.96$181.8
Office visit, established patient, 30-39 minutesCPT9921417$237$142.2$36.08$148.96$213.3
Office visit, established patient, 40-54 minCPT9921517$294$176.4$36.08$187.48$264.6
preventive
Upper GI endoscopy diagnosticCPT4323517$2,024$1,214.4$131.48$1,254.88$1,861.98
Upper GI endoscopy with biopsyCPT4323917$2,761$1,656.6$156.01$1,711.82$2,493.18
Sigmoidoscopy diagnosticCPT4533017$997$598.2$55.81$651.54$1,143.02
Sigmoidoscopy with biopsyCPT4533117$5,504$3,302.4$66.85$2,862.08$4,953.6
Colonoscopy diagnosticCPT4537817$2,500$1,500$189.53$1,550$2,493.18
Colonoscopy with biopsyCPT4538017$2,761$1,656.6$236.69$1,711.82$2,493.18
Colonoscopy with polyp removalCPT4538517$2,635$1,581$281.48$1,633.7$2,493.18
surgery
PCI w drug-eluting stent w MCCMS-DRG2461$9,223.57$9,223.57$9,223.57
PCI w drug-eluting stent w/o MCCMS-DRG2471$9,223.57$9,223.57$9,223.57
Knee arthroscopy with meniscectomyCPT2988110$570.67$2,264.96$3,522.02
Major small/large bowel procedures w MCCMS-DRG3298$9,223.57$35,320$51,716
Major small/large bowel procedures w CCMS-DRG3308$9,223.57$18,759$31,802
Major small/large bowel procedures w/o CC/MCCMS-DRG3318$9,223.57$13,381$23,901
Laparoscopic cholecystectomy w/o CDE w MCCMS-DRG4188$9,223.57$13,446$22,913
Laparoscopic cholecystectomy w/o CDE w CCMS-DRG4198$9,223.57$10,993$19,052
Laparoscopic cholecystectomy w/o CDE w/o CC/MCCMS-DRG4208$9,223.57$26,364$60,012
Laparoscopic appendectomyCPT449708$1,067.82$5,573.36$6,007.35
Spinal fusion (non-cervical) w MCCMS-DRG4591$9,223.57$9,223.57$9,223.57
Spinal fusion (non-cervical) w/o MCCMS-DRG4601$9,223.57$9,223.57$9,223.57
Major joint replacement w MCCMS-DRG4698$9,223.57$23,549$39,882
Major joint replacement w/o MCCMS-DRG4708$9,223.57$15,233$21,656
Laparoscopic cholecystectomyCPT475628$1,414.39$5,573.36$6,007.35
Hip & femur procedures except major joint w MCCMS-DRG4808$9,223.57$22,638$45,772
Hip & femur procedures except major joint w CCMS-DRG4818$9,223.57$16,480$32,107
Hip & femur procedures except major joint w/o CC/MCCMS-DRG4828$9,223.57$12,990$23,254
Lap-assisted vaginal hysterectomyCPT585508$1,761.78$5,951.73$8,052.24
Lap-assisted vaginal hysterectomy >250gCPT585528$1,582.65$9,925.85$10,720
Lap salpingo-oophorectomyCPT586618$1,365.27$5,562.36$6,007.35
OR procedure for obesity w MCCMS-DRG6197$20,789$22,452$39,290
OR procedure for obesity w CCMS-DRG6207$11,814$12,759$22,931
OR procedure for obesity w/o CC/MCCMS-DRG6217$11,173$12,067$18,514
Complex cataract surgeryCPT669828$784.52$2,326.61$4,934.09
Cataract surgery with lens implantCPT6698410$632.66$2,207.02$5,156.09
Uterine & adnexa procedures w CC/MCCMS-DRG7437$9,306.58$10,051$15,676
Uterine & adnexa procedures w/o CC/MCCMS-DRG7447$14,841$16,137$18,298

Payer mix (top 17)

PayerCodes coveredMedian rate
pa health & wellness150$247.36
amerihealth caritas150$229.27
Blue Cross Blue Shield150$485.02
Cigna150$494
Aetna150$379.84
upmc health plan150$351
UnitedHealthcare150$281.97
upmc work partners140$731.58
geisinger101$145.52
intergroup99$839.48
preferred healthcare system99$860.8
private health care systems99$968.4
selectcare99$968.4
health coalition partners99$968.4
First Health99$753.2
Humana99$968.4
health partners plans (jefferson health plan)90$156.16