Boot walker genesis full shell 3-strap s at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$805.80
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.
$1,343.00
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.
$255.17 with Health Partners Plans (Jefferson Health Plan) vs $1,074.40 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $255.17 | ↓ -68% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $372.71 | ↓ -54% |
| Geisinger | Medicaid | $443.19 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicaid | $523.77 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $532.07 | ↓ -34% |
| UPMC Health Plan | CHIP | $557.87 | ↓ -31% |
| UPMC Health Plan | Commercial | $607.86 | ↓ -25% |
| Cigna | Commercial | $671.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $671.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $671.50 | ↓ -17% |
| Aetna | Commercial | $711.79 | ↓ -12% |
| Geisinger | Commercial | $738.65 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $738.65 | ↓ -8% |
| Private Health Care Systems | PPO | $1,074.40 | ↑ +33% |
Visitor-reported prices
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Boot walker genesis full shell 3-strap s at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $831.00 | $263.15 – $1,246.50 |
| UPMC East | Monroeville | $289.20 | $32.68 – $557.87 |
| UPMC Hamot | Erie | $1,022.40 | $372.71 – $532.07 |
| UPMC Northwest | Seneca | $861.60 | $532.07 – $967.32 |
| UPMC Horizon-Greenville | Greenville | $831.00 | $532.07 – $949.88 |
| UPMC Jameson | New Castle | $831.00 | $166.95 – $557.87 |
| UPMC Magee | Pittsburgh | $828.60 | $183.65 – $557.87 |
| UPMC McKeesport | Mckeesport | $838.80 | $183.65 – $557.87 |