Analysis gene f5 leiden variant at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$1,126.20
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.
$1,877.00
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.
$66.70 with Aetna vs $272.24 with Highmark BCBS of PA — 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 | $66.70 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $66.70 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $70.03 | ↓ -94% |
| Cigna | Commercial | $71.00 | ↓ -94% |
| Preferred Healthcare System | PPO | $71.00 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $72.52 | ↓ -94% |
| United Healthcare | Commercial | $72.79 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $73.37 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $74.82 | ↓ -93% |
| Aetna | Commercial | $75.26 | ↓ -93% |
| UPMC Health Plan | Partners/Select | $76.06 | ↓ -93% |
| Geisinger | Commercial | $78.10 | ↓ -93% |
| United Healthcare | Medicare | $78.51 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $79.24 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $79.24 | ↓ -93% |
| Cigna | Medicare | $79.24 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $79.24 | ↓ -93% |
| Geisinger | Medicaid | $92.71 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $98.92 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $104.13 | ↓ -91% |
| UPMC Health Plan | CHIP | $104.78 | ↓ -91% |
| Private Health Care Systems | PPO | $113.60 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $113.67 | ↓ -90% |
| UPMC Health Plan | Commercial | $114.16 | ↓ -90% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $272.24 | ↓ -76% |
Visitor-reported prices
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Analysis gene f5 leiden variant at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $1,251.60 | $26.47 – $1,787.40 |
| UPMC Carlisle | Carlisle | $424.80 | $66.70 – $601.80 |
| UPMC Cole | Coudersport | $628.80 | $53.00 – $838.40 |
| UPMC Community Osteopathic | Harrisburg | $424.80 | $66.70 – $601.80 |
| UPMC East | Monroeville | $1,251.60 | $28.82 – $1,588.80 |
| UPMC Hamot | Erie | $1,361.40 | $52.32 – $272.24 |
| UPMC Northwest | Seneca | $1,251.60 | $29.09 – $79.24 |
| UPMC Hanover | Hanover | $424.80 | $66.70 – $117.39 |