Crotalidae poly immune fab at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$6,691.20
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.
$11,152.00
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.
$1,154.65 with UPMC Health Plan vs $8,921.60 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $1,154.65 | ↓ -83% |
| Geisinger | Medicaid | $1,828.71 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,828.71 | ↓ -73% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,828.71 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,828.71 | ↓ -73% |
| UPMC Health Plan | Managed Medicare | $1,864.93 | ↓ -72% |
| UPMC Health Plan | Partners/Select | $1,895.65 | ↓ -72% |
| United Healthcare | Medicare | $1,956.73 | ↓ -71% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,975.02 | ↓ -70% |
| Cigna | Medicare | $1,975.02 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,975.02 | ↓ -70% |
| AmeriHealth Caritas | Medicare | $1,975.02 | ↓ -70% |
| UPMC Health Plan | Commercial | $2,249.32 | ↓ -66% |
| UPMC Health Plan | CHIP | $2,262.64 | ↓ -66% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,951.16 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $4,146.31 | ↓ -38% |
| United Healthcare | Commercial | $5,338.92 | ↓ -20% |
| Cigna | Commercial | $5,576.00 | ↓ -17% |
| Preferred Healthcare System | PPO | $5,576.00 | ↓ -17% |
| Aetna | Commercial | $5,910.56 | ↓ -12% |
| Geisinger | Commercial | $6,133.60 | ↓ -8% |
| Private Health Care Systems | PPO | $8,921.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Crotalidae poly immune fab at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Kane | Kane | $5,178.60 | $1,828.71 – $3,645.72 |
| UPMC Muncy | Muncy | $14,450.40 | $1,828.71 – $2,011.59 |
| UPMC Presbyterian | Pittsburgh | $6,805.20 | $1,154.65 – $2,979.26 |
| UPMC Wellsboro | Wellsboro | $14,450.40 | $1,828.71 – $2,011.59 |
| UPMC Williamsport | Williamsport | $6,069.00 | $1,828.71 – $1,956.73 |
| WellSpan Waynesboro Hospital | Waynesboro | $7,082.00 | $37.50 – $6,217.65 |
| WellSpan Gettysburg Hospital | Gettysburg | $11,945.00 | $1,828.72 – $6,145.34 |
| UPMC Northwest | Seneca | not published | $1,154.65 – $1,975.02 |