Abd aorta w/runoff s&i at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$2,871.00
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.
$4,785.00
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.
$154.98 with Aetna vs $3,828.00 with Private Health Care Systems — 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 | Medicaid | $154.98 | ↓ -95% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $162.73 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $170.48 | ↓ -94% |
| Geisinger | Medicaid | $215.41 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $229.84 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $233.71 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $241.94 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $264.12 | ↓ -91% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $638.13 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $793.31 | ↓ -72% |
| UPMC Health Plan | CHIP | $2,007.77 | ↓ -30% |
| UPMC Health Plan | Commercial | $2,187.68 | ↓ -24% |
| Cigna | Commercial | $2,392.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,392.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $2,392.50 | ↓ -17% |
| United Healthcare | Commercial | $2,452.79 | ↓ -15% |
| Aetna | Commercial | $2,536.05 | ↓ -12% |
| Geisinger | Commercial | $2,631.75 | ↓ -8% |
| Private Health Care Systems | PPO | $3,828.00 | ↑ +33% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Abd aorta w/runoff s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,906.40 | $203.02 – $8,367.40 |
| UPMC Community Osteopathic | Harrisburg | $5,906.40 | $203.02 – $8,367.40 |
| UPMC Hamot | Erie | $3,226.20 | $268.71 – $4,114.32 |
| UPMC Jameson | New Castle | $4,533.00 | $178.23 – $3,750.95 |
| UPMC Lititz | Lititz | $5,906.40 | $203.02 – $4,836.88 |
| UPMC Magee | Pittsburgh | $3,563.40 | $268.71 – $3,240.82 |
| UPMC Memorial | York | $5,906.40 | $203.02 – $4,829.02 |
| UPMC Mercy | Pittsburgh | $4,845.60 | $268.71 – $3,300.84 |