Cardiac rehabilitation op phase 2 without continous ecg monitoring at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$216.00
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.
$360.00
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.
$11.80 with Highmark BCBS of PA vs $288.00 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 | $11.80 | ↓ -95% |
| UPMC Health Plan | CHIP | $27.72 | ↓ -87% |
| UPMC Health Plan | Commercial | $30.20 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $41.38 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $90.20 | ↓ -58% |
| UPMC Health Plan | Managed Medicare | $122.42 | ↓ -43% |
| UPMC Health Plan | Partners/Select | $124.43 | ↓ -42% |
| United Healthcare | Medicare | $128.44 | ↓ -41% |
| AmeriHealth Caritas | Medicare | $129.64 | ↓ -40% |
| Cigna | Medicare | $129.64 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicare | $129.64 | ↓ -40% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $129.64 | ↓ -40% |
| Cigna | Commercial | $180.00 | ↓ -17% |
| Preferred Healthcare System | PPO | $180.00 | ↓ -17% |
| United Healthcare | Commercial | $184.54 | ↓ -15% |
| Aetna | Commercial | $190.80 | ↓ -12% |
| Geisinger | Medicaid | $198.00 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $198.00 | ↓ -8% |
| Geisinger | Commercial | $198.00 | ↓ -8% |
| Private Health Care Systems | PPO | $288.00 | ↑ +33% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Cardiac rehabilitation op phase 2 without continous ecg monitoring at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $91.20 | $27.72 – $136.80 |
| UPMC Community Osteopathic | Harrisburg | $209.40 | $27.72 – $296.65 |
| UPMC Hamot | Erie | $112.80 | $11.80 – $163.36 |
| UPMC Northwest | Seneca | $90.60 | $30.63 – $129.64 |
| UPMC Hanover | Hanover | $209.40 | $27.72 – $192.45 |
| UPMC Horizon-Greenville | Greenville | $70.80 | $27.72 – $129.64 |
| UPMC Jameson | New Castle | $70.80 | $8.84 – $84.23 |
| UPMC Lititz | Lititz | $209.40 | $27.72 – $193.49 |