Fetal hemoglobin rosette at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$105.60
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.
$176.00
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.
$9.17 with Health Partners Plans (Jefferson Health Plan) vs $140.80 with Private Health Care Systems — 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 | $9.17 | ↓ -91% |
| Aetna | Medicaid | $9.17 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $9.25 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $9.55 | ↓ -91% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $9.63 | ↓ -91% |
| UPMC Health Plan | Partners/Select | $9.70 | ↓ -91% |
| United Healthcare | Medicare | $10.02 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $10.09 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $10.11 | ↓ -90% |
| Cigna | Medicare | $10.11 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $10.11 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $10.11 | ↓ -90% |
| Geisinger | Medicaid | $12.75 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $13.60 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $14.32 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $15.63 | ↓ -85% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $21.04 | ↓ -80% |
| UPMC Health Plan | CHIP | $53.09 | ↓ -50% |
| UPMC Health Plan | Commercial | $57.85 | ↓ -45% |
| Preferred Healthcare System | PPO | $88.00 | ↓ -17% |
| Cigna | Commercial | $88.00 | ↓ -17% |
| United Healthcare | Commercial | $90.22 | ↓ -15% |
| Aetna | Commercial | $93.28 | ↓ -12% |
| Geisinger | Commercial | $96.80 | ↓ -8% |
| Private Health Care Systems | PPO | $140.80 | ↑ +33% |
Visitor-reported prices
Comments
Fetal hemoglobin rosette at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $48.00 | $9.17 – $68.00 |
| UPMC Community Osteopathic | Harrisburg | $48.00 | $9.17 – $68.00 |
| UPMC Hamot | Erie | $141.00 | $9.12 – $21.04 |
| UPMC Hanover | Hanover | $48.00 | $9.17 – $14.98 |
| UPMC Horizon-Greenville | Greenville | $80.40 | $8.38 – $17.56 |
| UPMC Lititz | Lititz | $48.00 | $9.17 – $14.98 |
| UPMC Magee | Pittsburgh | $102.60 | $8.76 – $21.24 |
| UPMC McKeesport | Mckeesport | $205.80 | $8.68 – $21.24 |