Closure paravalvlr leak pq at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$11,757.60
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.
?
What you pay up front if you don't use insurance.
$19,596.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$18.59 with Highmark BCBS of PA vs $9,891.20 with Private Health Care Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $18.59 | ↓ -100% |
| UPMC Health Plan | CHIP | $48.10 | ↓ -100% |
| UPMC Health Plan | Commercial | $52.41 | ↓ -100% |
| UPMC Health Plan | Managed Medicare | $601.11 | ↓ -95% |
| UPMC Health Plan | Partners/Select | $611.01 | ↓ -95% |
| United Healthcare | Medicare | $630.70 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $636.60 | ↓ -95% |
| Cigna | Medicare | $636.60 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $636.60 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $636.60 | ↓ -95% |
| Cigna | Commercial | $6,182.00 | ↓ -47% |
| Preferred Healthcare System | PPO | $6,182.00 | ↓ -47% |
| United Healthcare | Commercial | $6,337.79 | ↓ -46% |
| Aetna | Commercial | $6,552.92 | ↓ -44% |
| Geisinger | Medicaid | $6,800.20 | ↓ -42% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6,800.20 | ↓ -42% |
| Geisinger | Commercial | $6,800.20 | ↓ -42% |
| Private Health Care Systems | PPO | $9,891.20 | ↓ -16% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Closure paravalvlr leak pq at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,734.80 | $48.10 – $8,124.30 |
| UPMC Community Osteopathic | Harrisburg | $5,734.80 | $48.10 – $8,124.30 |
| UPMC Hamot | Erie | $799.80 | $18.59 – $857.29 |
| UPMC Hanover | Hanover | $5,734.80 | $48.10 – $944.99 |
| UPMC Lititz | Lititz | $5,734.80 | $48.10 – $950.10 |
| UPMC Memorial | York | $5,734.80 | $15.15 – $948.56 |
| UPMC Presbyterian | Pittsburgh | $14,788.80 | $18.77 – $648.38 |
| UPMC Somerset | Somerset | $5,734.80 | $18.40 – $636.54 |