Fluorouracil 50 mg/ml intravenous solution (wrapper) at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$11.80
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.
$14.75
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.
$1.26 with UPMC Health Plan vs $19.24 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $1.26 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1.99 | ↓ -83% |
| Geisinger | Medicaid | $1.99 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1.99 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1.99 | ↓ -83% |
| UPMC Health Plan | Commercial | $2.45 | ↓ -79% |
| UPMC Health Plan | CHIP | $3.73 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $5.21 | ↓ -56% |
| United Healthcare | Commercial | $6.69 | ↓ -43% |
| Highmark Wholecare (prev Gateway) | Medicare | $7.00 | ↓ -41% |
| Cigna | Commercial | $7.00 | ↓ -41% |
| Preferred Healthcare System | PPO | $7.00 | ↓ -41% |
| Aetna | Commercial | $7.42 | ↓ -37% |
| Geisinger | Commercial | $7.70 | ↓ -35% |
| Private Health Care Systems | PPO | $11.20 | ↓ -5% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $19.24 | ↑ +63% |
Visitor-reported prices
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Fluorouracil 50 mg/ml intravenous solution (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $15.00 | $1.99 – $9.60 |
| UPMC East | Monroeville | $152.80 | $1.26 – $152.80 |
| UPMC Hamot | Erie | $63.60 | $1.26 – $8.76 |
| UPMC Northwest | Seneca | $49.80 | $1.26 – $26.97 |
| UPMC Horizon-Greenville | Greenville | $46.80 | $1.26 – $26.48 |
| UPMC Magee | Pittsburgh | $106.20 | $1.26 – $19.42 |
| UPMC McKeesport | Mckeesport | $52.80 | $1.26 – $19.42 |
| UPMC Mercy | Pittsburgh | $31.80 | $1.26 – $19.24 |