Allergy injections; 2 or more 95117 at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$24.60
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.
$41.00
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.
$6.12 with Highmark BCBS of PA vs $47.51 with Cigna — 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 | $6.12 | ↓ -75% |
| Cigna | Commercial | $20.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $20.50 | ↓ -17% |
| United Healthcare | Commercial | $21.02 | ↓ -15% |
| Aetna | Commercial | $21.73 | ↓ -12% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $22.55 | ↓ -8% |
| Geisinger | Commercial | $22.55 | ↓ -8% |
| Geisinger | Medicaid | $22.55 | ↓ -8% |
| UPMC Health Plan | CHIP | $26.38 | ↑ +7% |
| UPMC Health Plan | Commercial | $28.74 | ↑ +17% |
| Private Health Care Systems | PPO | $32.80 | ↑ +33% |
| UPMC Work Partners | Workers Comp | $42.87 | ↑ +74% |
| UPMC Health Plan | Managed Medicare | $44.86 | ↑ +82% |
| UPMC Health Plan | Partners/Select | $45.60 | ↑ +85% |
| United Healthcare | Medicare | $47.07 | ↑ +91% |
| Highmark Wholecare (prev Gateway) | Medicare | $47.51 | ↑ +93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $47.51 | ↑ +93% |
| AmeriHealth Caritas | Medicare | $47.51 | ↑ +93% |
| Cigna | Medicare | $47.51 | ↑ +93% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Allergy injections; 2 or more 95117 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $41.40 | $10.44 – $55.20 |
| UPMC Magee | Pittsburgh | $24.00 | $6.17 – $48.39 |
| UPMC Presbyterian | Pittsburgh | $52.20 | $6.17 – $50.85 |
| UPMC Wellsboro | Wellsboro | $6.80 | $8.96 – $42.87 |
| Uniontown Hospital | Uniontown | $37.00 | $8.23 – $94.28 |