Abdominal paracentesis w/image guidance at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$2,179.80
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.
$3,633.00
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.
$84.33 with Aetna vs $3,379.97 with UPMC Health Plan — 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 | $84.33 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $88.55 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $92.76 | ↓ -96% |
| Geisinger | Medicaid | $117.21 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $125.06 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $127.17 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $131.65 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $143.72 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $427.09 | ↓ -80% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $837.43 | ↓ -62% |
| UPMC Health Plan | Managed Medicare | $911.55 | ↓ -58% |
| UPMC Health Plan | Partners/Select | $926.56 | ↓ -57% |
| United Healthcare | Medicare | $956.42 | ↓ -56% |
| Cigna | Medicare | $965.36 | ↓ -56% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $965.36 | ↓ -56% |
| Highmark Wholecare (prev Gateway) | Medicare | $965.36 | ↓ -56% |
| AmeriHealth Caritas | Medicare | $965.36 | ↓ -56% |
| Cigna | Commercial | $1,816.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $1,816.50 | ↓ -17% |
| United Healthcare | Commercial | $1,862.28 | ↓ -15% |
| Aetna | Commercial | $1,925.49 | ↓ -12% |
| Geisinger | Commercial | $1,998.15 | ↓ -8% |
| Private Health Care Systems | PPO | $2,906.40 | ↑ +33% |
| UPMC Health Plan | CHIP | $3,102.01 | ↑ +42% |
| UPMC Health Plan | Commercial | $3,379.97 | ↑ +55% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal paracentesis w/image guidance at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $2,008.20 | $88.55 – $3,012.30 |
| UPMC Carlisle | Carlisle | $1,225.20 | $107.10 – $1,735.70 |
| UPMC Cole | Coudersport | $1,693.20 | $57.93 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $1,225.20 | $113.85 – $3,102.01 |
| UPMC East | Monroeville | $2,540.40 | $92.76 – $3,387.20 |
| UPMC Hamot | Erie | $2,052.60 | $92.76 – $1,300.05 |
| UPMC Northwest | Seneca | $1,898.40 | $92.76 – $938.54 |
| UPMC Hanover | Hanover | $1,225.20 | $107.10 – $1,433.04 |