Aep thrshld est mlt freq i&r at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$261.00
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.
$435.00
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.
$86.16 with Highmark BCBS of PA vs $348.00 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $86.16 | ↓ -67% |
| Aetna | Medicaid | $92.34 | ↓ -65% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $96.96 | ↓ -63% |
| UPMC Health Plan | Managed Medicaid | $101.57 | ↓ -61% |
| Geisinger | Medicaid | $128.34 | ↓ -51% |
| UPMC Work Partners | Workers Comp | $133.67 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $136.94 | ↓ -48% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $139.25 | ↓ -47% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $144.15 | ↓ -45% |
| UPMC Health Plan | CHIP | $152.25 | ↓ -42% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $157.37 | ↓ -40% |
| Cigna | Commercial | $217.50 | ↓ -17% |
| UPMC Health Plan | Commercial | $217.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $217.50 | ↓ -17% |
| United Healthcare | Commercial | $222.98 | ↓ -15% |
| Aetna | Commercial | $230.55 | ↓ -12% |
| Geisinger | Commercial | $239.25 | ↓ -8% |
| UPMC Health Plan | Managed Medicare | $302.76 | ↑ +16% |
| UPMC Health Plan | Partners/Select | $307.75 | ↑ +18% |
| United Healthcare | Medicare | $317.66 | ↑ +22% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $320.63 | ↑ +23% |
| AmeriHealth Caritas | Medicare | $320.63 | ↑ +23% |
| Cigna | Medicare | $320.63 | ↑ +23% |
| Highmark Wholecare (prev Gateway) | Medicare | $320.63 | ↑ +23% |
| Private Health Care Systems | PPO | $348.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Aep thrshld est mlt freq i&r at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $898.20 | $86.16 – $395.44 |
| UPMC Jameson | New Castle | $1,593.60 | $87.68 – $371.10 |
| UPMC Magee | Pittsburgh | $831.60 | $86.98 – $320.63 |
| UPMC Mercy | Pittsburgh | $519.60 | $86.16 – $326.57 |
| UPMC Presbyterian | Pittsburgh | $1,593.60 | $86.98 – $326.57 |
| UPMC St. Margaret | Pittsburgh | $1,635.60 | $86.98 – $326.57 |
| UPMC Wellsboro | Wellsboro | $295.20 | $101.57 – $157.37 |
| Uniontown Hospital | Uniontown | $619.00 | $78.24 – $434.70 |