Correct rectal prolapse at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$9,169.80
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.
$15,283.00
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.
$1,413.84 with Highmark BCBS of PA vs $12,226.40 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,413.84 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $2,135.47 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $2,666.31 | ↓ -71% |
| UPMC Health Plan | Partners/Select | $2,710.23 | ↓ -70% |
| United Healthcare | Medicare | $2,797.56 | ↓ -69% |
| AmeriHealth Caritas | Medicare | $2,823.70 | ↓ -69% |
| Cigna | Medicare | $2,823.70 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,823.70 | ↓ -69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,823.70 | ↓ -69% |
| UPMC Health Plan | CHIP | $3,102.62 | ↓ -66% |
| UPMC Health Plan | Commercial | $3,380.64 | ↓ -63% |
| Cigna | Commercial | $7,641.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $7,641.50 | ↓ -17% |
| United Healthcare | Commercial | $7,834.07 | ↓ -15% |
| Aetna | Commercial | $8,099.99 | ↓ -12% |
| Geisinger | Medicaid | $8,405.65 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $8,405.65 | ↓ -8% |
| Geisinger | Commercial | $8,405.65 | ↓ -8% |
| Private Health Care Systems | PPO | $12,226.40 | ↑ +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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Correct rectal prolapse at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $8,036.40 | $1,427.30 – $10,715.20 |
| UPMC Mercy | Pittsburgh | $8,616.60 | $1,413.84 – $2,875.99 |
| UPMC Presbyterian | Pittsburgh | $10,834.80 | $931.20 – $2,875.99 |
| UPMC St. Margaret | Pittsburgh | $7,807.80 | $1,392.47 – $2,875.99 |
| UPMC Williamsport | Williamsport | $8,777.40 | $993.28 – $2,823.70 |
| Uniontown Hospital | Uniontown | $3,817.00 | $715.70 – $2,793.92 |
| UPMC Jameson | New Castle | not published | $892.40 – $3,529.63 |