Drug assay vedolizumab at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$106.20
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.
$177.00
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.
$21.60 with Highmark BCBS of PA vs $196.48 with UPMC Health Plan — 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 | $21.60 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $38.12 | ↓ -64% |
| UPMC Health Plan | Managed Medicare | $39.33 | ↓ -63% |
| UPMC Health Plan | Partners/Select | $39.98 | ↓ -62% |
| United Healthcare | Medicare | $41.27 | ↓ -61% |
| Cigna | Medicare | $41.66 | ↓ -61% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $41.66 | ↓ -61% |
| AmeriHealth Caritas | Medicare | $41.66 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $41.66 | ↓ -61% |
| Cigna | Commercial | $88.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $88.50 | ↓ -17% |
| United Healthcare | Commercial | $90.73 | ↓ -15% |
| Aetna | Commercial | $93.81 | ↓ -12% |
| Geisinger | Medicaid | $97.35 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $97.35 | ↓ -8% |
| Geisinger | Commercial | $97.35 | ↓ -8% |
| Private Health Care Systems | PPO | $141.60 | ↑ +33% |
| UPMC Health Plan | CHIP | $180.32 | ↑ +70% |
| UPMC Health Plan | Commercial | $196.48 | ↑ +85% |
Visitor-reported prices
Comments
Drug assay vedolizumab at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $135.60 | $13.92 – $203.40 |
| UPMC Carlisle | Carlisle | $83.40 | $19.04 – $118.15 |
| UPMC Community Osteopathic | Harrisburg | $83.40 | $27.80 – $180.32 |
| UPMC East | Monroeville | $203.40 | $21.80 – $271.20 |
| UPMC Hamot | Erie | $120.00 | $21.60 – $41.66 |
| UPMC Northwest | Seneca | $126.60 | $34.98 – $41.66 |
| UPMC Hanover | Hanover | $83.40 | $30.82 – $180.32 |
| UPMC Horizon-Greenville | Greenville | $134.40 | $34.53 – $41.66 |