Expander breast 300cc mod hght extra proj smth natrelle at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$2,472.60
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.
$4,121.00
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.
$563.73 with Health Partners Plans (Jefferson Health Plan) vs $3,775.18 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $563.73 | ↓ -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 | $863.78 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $979.11 | ↓ -60% |
| Geisinger | Medicaid | $979.11 | ↓ -60% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,003.74 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,157.13 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,483.50 | ↓ -40% |
| Preferred Healthcare System | PPO | $1,483.50 | ↓ -40% |
| Cigna | Commercial | $1,483.50 | ↓ -40% |
| Aetna | Commercial | $1,572.51 | ↓ -36% |
| Geisinger | Commercial | $1,631.85 | ↓ -34% |
| Private Health Care Systems | PPO | $2,373.60 | ↓ -4% |
| UPMC Health Plan | CHIP | $3,464.72 | ↑ +40% |
| UPMC Health Plan | Commercial | $3,775.18 | ↑ +53% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Expander breast 300cc mod hght extra proj smth natrelle at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $2,675.40 | $715.73 – $3,464.72 |
| UPMC Hamot | Erie | $3,432.00 | $863.78 – $863.78 |
| UPMC Horizon-Greenville | Greenville | $2,089.20 | $2,201.42 – $3,464.72 |
| UPMC Jameson | New Castle | $2,524.20 | $368.37 – $3,464.72 |
| UPMC Magee | Pittsburgh | $3,118.20 | $405.21 – $3,464.72 |
| UPMC Mercy | Pittsburgh | $2,469.60 | $863.78 – $2,735.89 |
| UPMC Muncy | Muncy | $2,967.60 | $82.80 – $496.80 |
| UPMC Passavant-McCandless | Pittsburgh | $2,941.80 | $872.01 – $5,027.74 |