Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$286.80
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.
$478.00
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.
$54.00 with Aetna vs $1,868.37 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 |
|---|---|---|---|
| Aetna | Medicaid | $54.00 | ↓ -81% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $56.70 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $59.40 | ↓ -79% |
| Geisinger | Medicaid | $75.05 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicaid | $80.08 | ↓ -72% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $81.43 | ↓ -72% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $84.30 | ↓ -71% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $92.03 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $230.04 | ↓ -20% |
| Cigna | Commercial | $239.00 | ↓ -17% |
| Preferred Healthcare System | PPO | $239.00 | ↓ -17% |
| United Healthcare | Commercial | $245.02 | ↓ -15% |
| Aetna | Commercial | $253.34 | ↓ -12% |
| Geisinger | Commercial | $262.90 | ↓ -8% |
| Private Health Care Systems | PPO | $382.40 | ↑ +33% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $545.04 | ↑ +90% |
| UPMC Health Plan | Managed Medicare | $684.07 | ↑ +139% |
| UPMC Health Plan | Partners/Select | $695.34 | ↑ +142% |
| United Healthcare | Medicare | $717.75 | ↑ +150% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $724.45 | ↑ +153% |
| AmeriHealth Caritas | Medicare | $724.45 | ↑ +153% |
| Cigna | Medicare | $724.45 | ↑ +153% |
| Highmark Wholecare (prev Gateway) | Medicare | $724.45 | ↑ +153% |
| UPMC Health Plan | CHIP | $1,714.72 | ↑ +498% |
| UPMC Health Plan | Commercial | $1,868.37 | ↑ +551% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $3,417.00 | $56.70 – $5,125.50 |
| UPMC Carlisle | Carlisle | $2,184.60 | $68.58 – $3,094.85 |
| UPMC Cole | Coudersport | $157.80 | $33.54 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $2,184.60 | $68.58 – $3,094.85 |
| UPMC East | Monroeville | $3,009.60 | $59.40 – $4,012.80 |
| UPMC Hamot | Erie | $3,165.00 | $59.40 – $975.61 |
| UPMC Hanover | Hanover | $2,184.60 | $68.58 – $1,075.42 |
| UPMC Lititz | Lititz | $2,184.60 | $68.58 – $1,081.23 |