Application of long arm cast 29065 at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
not published by hospital
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.
not published by hospital
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.
$42.50 with Aetna vs $692.80 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 | $42.50 | — |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $44.62 | — |
| UPMC Health Plan | Managed Medicaid | $46.75 | — |
| Geisinger | Medicaid | $59.07 | — |
| Highmark Wholecare (prev Gateway) | Medicaid | $63.03 | — |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $64.09 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $66.35 | — |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $72.43 | — |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $204.47 | — |
| UPMC Work Partners | Workers Comp | $254.65 | — |
| UPMC Health Plan | Managed Medicare | $258.21 | — |
| UPMC Health Plan | Partners/Select | $262.47 | — |
| United Healthcare | Medicare | $270.92 | — |
| Cigna | Medicare | $273.46 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $273.46 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $273.46 | — |
| AmeriHealth Caritas | Medicare | $273.46 | — |
| UPMC Health Plan | CHIP | $635.82 | — |
| UPMC Health Plan | Commercial | $692.80 | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Application of long arm cast 29065 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $1,371.00 | $44.62 – $2,056.50 |
| UPMC Carlisle | Carlisle | $440.40 | $53.98 – $1,016.56 |
| UPMC Cole | Coudersport | $125.40 | $26.06 – $254.65 |
| UPMC Community Osteopathic | Harrisburg | $440.40 | $53.98 – $1,016.56 |
| UPMC Hamot | Erie | $856.20 | $46.75 – $368.26 |
| UPMC Northwest | Seneca | $1,343.40 | $46.75 – $269.52 |
| UPMC Hanover | Hanover | $440.40 | $53.98 – $1,016.56 |
| UPMC Horizon-Greenville | Greenville | $899.40 | $46.75 – $397.78 |