Ghs abscess postoperative iandd complex at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$3,794.40
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.
$6,324.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$154.29 with Aetna vs $5,059.20 with Private Health Care Systems — 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 | $154.29 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $162.00 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $169.72 | ↓ -96% |
| Geisinger | Medicaid | $214.45 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $228.81 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $232.67 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $240.86 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $262.94 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $392.76 | ↓ -90% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $729.80 | ↓ -81% |
| UPMC Health Plan | CHIP | $2,298.97 | ↓ -39% |
| UPMC Health Plan | Commercial | $2,504.97 | ↓ -34% |
| UPMC Health Plan | Managed Medicare | $2,782.65 | ↓ -27% |
| UPMC Health Plan | Partners/Select | $2,828.49 | ↓ -25% |
| United Healthcare | Medicare | $2,919.62 | ↓ -23% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,946.91 | ↓ -22% |
| Cigna | Medicare | $2,946.91 | ↓ -22% |
| AmeriHealth Caritas | Medicare | $2,946.91 | ↓ -22% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,946.91 | ↓ -22% |
| Cigna | Commercial | $3,162.00 | ↓ -17% |
| Preferred Healthcare System | PPO | $3,162.00 | ↓ -17% |
| United Healthcare | Commercial | $3,241.68 | ↓ -15% |
| Aetna | Commercial | $3,351.72 | ↓ -12% |
| Geisinger | Commercial | $3,478.20 | ↓ -8% |
| Private Health Care Systems | PPO | $5,059.20 | ↑ +33% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs abscess postoperative iandd complex at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,515.40 | $195.95 – $4,980.15 |
| UPMC Cole | Coudersport | $330.00 | $152.46 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $3,515.40 | $195.95 – $4,980.15 |
| UPMC Hamot | Erie | $3,099.00 | $169.72 – $3,968.58 |
| UPMC Northwest | Seneca | $4,281.00 | $169.72 – $2,865.05 |
| UPMC Hanover | Hanover | $3,515.40 | $195.95 – $4,374.59 |
| UPMC Jameson | New Castle | $2,899.80 | $169.72 – $3,683.64 |
| UPMC Lititz | Lititz | $3,515.40 | $195.95 – $4,398.21 |