Exc im tumor/foot/toe < 1.5 cm 28045 at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
not published by hospital
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.
not published by hospital
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.
$120.00 with Aetna vs $2,946.91 with AmeriHealth Caritas — 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 | $120.00 | — |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $126.00 | — |
| UPMC Health Plan | Managed Medicaid | $132.00 | — |
| Geisinger | Medicaid | $166.79 | — |
| Highmark Wholecare (prev Gateway) | Medicaid | $177.96 | — |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $180.96 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $187.33 | — |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $204.50 | — |
| UPMC Work Partners | Workers Comp | $648.09 | — |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $836.96 | — |
| UPMC Health Plan | CHIP | $2,655.24 | — |
| UPMC Health Plan | Managed Medicare | $2,782.65 | — |
| UPMC Health Plan | Partners/Select | $2,828.49 | — |
| UPMC Health Plan | Commercial | $2,893.17 | — |
| United Healthcare | Medicare | $2,919.62 | — |
| Cigna | Medicare | $2,946.91 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $2,946.91 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,946.91 | — |
| AmeriHealth Caritas | Medicare | $2,946.91 | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Exc im tumor/foot/toe < 1.5 cm 28045 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $4,028.50 | $132.00 – $5,847.63 |
| UPMC Community Osteopathic | Harrisburg | not published | $162.00 – $5,805.45 |
| UPMC Somerset | Somerset | not published | $132.00 – $2,728.62 |
| WellSpan Chambersburg Hospital | Chambersburg | not published | $970.00 – $13,162.83 |
| WellSpan Good Samaritan Hospital | Lebanon | not published | $1,101.92 – $8,551.40 |
| WellSpan Gettysburg Hospital | Gettysburg | not published | $970.00 – $1,101.92 |