Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$3,468.00
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.
$5,780.00
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.
$17.06 with Highmark BCBS of PA vs $315.20 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $17.06 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $33.31 | ↓ -99% |
| UPMC Health Plan | CHIP | $52.22 | ↓ -98% |
| UPMC Health Plan | Commercial | $64.88 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $74.86 | ↓ -98% |
| Geisinger | Medicaid | $130.02 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $130.02 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $133.29 | ↓ -96% |
| United Healthcare | Commercial | $145.35 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $153.66 | ↓ -96% |
| Cigna | Commercial | $197.00 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $197.00 | ↓ -94% |
| Preferred Healthcare System | PPO | $197.00 | ↓ -94% |
| Aetna | Commercial | $208.82 | ↓ -94% |
| Geisinger | Commercial | $216.70 | ↓ -94% |
| Private Health Care Systems | PPO | $315.20 | ↓ -91% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $243.00 | $33.31 – $364.50 |
| UPMC Northwest | Seneca | $5,533.20 | $33.31 – $44.29 |
| UPMC Horizon-Greenville | Greenville | $243.00 | $33.31 – $43.49 |
| UPMC Jameson | New Castle | $1,612.20 | $17.36 – $53.28 |
| UPMC Muncy | Muncy | $2,568.60 | $58.03 – $58.03 |
| WellSpan Chambersburg Hospital | Chambersburg | $46.40 | $41.76 – $181.27 |
| WellSpan Ephrata Community Hospital | Ephrata | $69.60 | $50.69 – $181.27 |
| Uniontown Hospital | Uniontown | $1,909.30 | $98.00 – $294.79 |