healthcosts.net
Circumcision (newborn) at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$1,248.60
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.
$2,081.00
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.
$27.00 with UPMC Health Plan vs $2,109.25 with PA Health & Wellness — 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 |
|---|---|---|---|
| UPMC Health Plan | CHIP | $27.00 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $27.00 | ↓ -98% |
| Aetna | Medicaid | $79.00 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $82.95 | ↓ -93% |
| Geisinger | Medicaid | $109.80 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $117.16 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $119.13 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $123.33 | ↓ -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 | $130.12 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $134.63 | ↓ -89% |
| UPMC Health Plan | Commercial | $437.07 | ↓ -65% |
| Cigna | Commercial | $1,040.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $1,040.50 | ↓ -17% |
| Aetna | Commercial | $1,102.93 | ↓ -12% |
| Geisinger | Commercial | $1,144.55 | ↓ -8% |
| Private Health Care Systems | PPO | $1,664.80 | ↑ +33% |
| UPMC Health Plan | Managed Medicare | $1,991.68 | ↑ +60% |
| UPMC Health Plan | Partners/Select | $2,024.49 | ↑ +62% |
| United Healthcare | Medicare | $2,089.72 | ↑ +67% |
| AmeriHealth Caritas | Medicare | $2,109.25 | ↑ +69% |
| Cigna | Medicare | $2,109.25 | ↑ +69% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,109.25 | ↑ +69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,109.25 | ↑ +69% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Circumcision (newborn) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,219.20 | $100.33 – $3,135.44 |
| UPMC Cole | Coudersport | $283.80 | $82.95 – $2,325.85 |
| UPMC Hanover | Hanover | $1,219.20 | $100.33 – $3,131.10 |
| UPMC Horizon-Greenville | Greenville | $593.40 | $31.88 – $2,050.66 |
| UPMC Lititz | Lititz | $1,219.20 | $100.33 – $3,148.02 |
| UPMC Magee | Pittsburgh | $2,380.80 | $26.56 – $3,650.56 |
| UPMC Memorial | York | $1,219.20 | $100.33 – $3,142.91 |
| UPMC Northwest | Seneca | $2,149.20 | $86.90 – $3,044.70 |