Ghs ed peritoneal lavage w guidance if performed at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$5,431.80
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.
?
What you pay up front if you don't use insurance.
$9,053.00
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.
$77.62 with Aetna vs $7,242.40 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 | $77.62 | ↓ -99% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $81.50 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $85.38 | ↓ -98% |
| Geisinger | Medicaid | $107.88 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $115.11 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $117.05 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $121.17 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $132.28 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $143.03 | ↓ -97% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $837.43 | ↓ -85% |
| UPMC Health Plan | Managed Medicare | $911.55 | ↓ -83% |
| UPMC Health Plan | Partners/Select | $926.56 | ↓ -83% |
| United Healthcare | Medicare | $956.42 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $965.36 | ↓ -82% |
| AmeriHealth Caritas | Medicare | $965.36 | ↓ -82% |
| Cigna | Medicare | $965.36 | ↓ -82% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $965.36 | ↓ -82% |
| UPMC Health Plan | CHIP | $1,828.74 | ↓ -66% |
| UPMC Health Plan | Commercial | $1,992.60 | ↓ -63% |
| Preferred Healthcare System | PPO | $4,526.50 | ↓ -17% |
| Cigna | Commercial | $4,526.50 | ↓ -17% |
| United Healthcare | Commercial | $4,640.57 | ↓ -15% |
| Aetna | Commercial | $4,798.09 | ↓ -12% |
| Geisinger | Commercial | $4,979.15 | ↓ -8% |
| Private Health Care Systems | PPO | $7,242.40 | ↑ +33% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs ed peritoneal lavage w guidance if performed at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,660.40 | $98.58 – $3,768.90 |
| UPMC Community Osteopathic | Harrisburg | $2,660.40 | $98.58 – $3,768.90 |
| UPMC Northwest | Seneca | $5,218.20 | $85.38 – $938.54 |
| UPMC Hanover | Hanover | $2,660.40 | $98.58 – $1,433.04 |
| UPMC Jameson | New Castle | $3,890.40 | $85.38 – $1,206.70 |
| UPMC Lititz | Lititz | $2,660.40 | $98.58 – $1,440.78 |
| UPMC Memorial | York | $2,660.40 | $98.58 – $1,438.45 |
| UPMC Mercy | Pittsburgh | $3,763.20 | $85.38 – $983.24 |