Doppler upper/lower extremity arteries complete bilateral at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$457.20
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.
?
What you pay up front if you don't use insurance.
$762.00
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.
$70.05 with Aetna vs $609.60 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 |
|---|---|---|---|
| Aetna | Medicaid | $70.05 | ↓ -85% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $73.55 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $77.06 | ↓ -83% |
| Geisinger | Medicaid | $97.36 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $103.88 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $105.64 | ↓ -77% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $106.27 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $109.36 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $119.38 | ↓ -74% |
| UPMC Work Partners | Workers Comp | $192.77 | ↓ -58% |
| UPMC Health Plan | CHIP | $338.24 | ↓ -26% |
| UPMC Health Plan | Commercial | $368.55 | ↓ -19% |
| Cigna | Commercial | $381.00 | ↓ -17% |
| Preferred Healthcare System | PPO | $381.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $381.00 | ↓ -17% |
| United Healthcare | Commercial | $390.60 | ↓ -15% |
| Aetna | Commercial | $403.86 | ↓ -12% |
| Geisinger | Commercial | $419.10 | ↓ -8% |
| Private Health Care Systems | PPO | $609.60 | ↑ +33% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Doppler upper/lower extremity arteries complete bilateral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $354.00 | $53.82 – $531.00 |
| UPMC Carlisle | Carlisle | $1,091.40 | $88.96 – $1,546.15 |
| UPMC Community Osteopathic | Harrisburg | $1,091.40 | $32.60 – $338.24 |
| UPMC East | Monroeville | $551.40 | $100.70 – $735.20 |
| UPMC Hamot | Erie | $291.00 | $100.70 – $382.89 |
| UPMC Northwest | Seneca | $425.40 | $100.70 – $386.31 |
| UPMC Hanover | Hanover | $1,091.40 | $88.96 – $801.00 |
| UPMC Horizon-Greenville | Greenville | $621.00 | $100.70 – $386.31 |