Icd crtd cobalt hf MRI is1 df1 at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$59,517.00
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.
$99,195.00
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.
$8,750.64 with Health Partners Plans (Jefferson Health Plan) vs $97,629.29 with UPMC Health Plan — 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 | $8,750.64 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $15,198.48 | ↓ -74% |
| Geisinger | Medicaid | $15,198.48 | ↓ -74% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15,580.74 | ↓ -74% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $16,220.93 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $17,961.84 | ↓ -70% |
| Preferred Healthcare System | PPO | $23,028.00 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $23,028.00 | ↓ -61% |
| Cigna | Commercial | $23,028.00 | ↓ -61% |
| Aetna | Commercial | $24,409.68 | ↓ -59% |
| Geisinger | Commercial | $25,330.80 | ↓ -57% |
| Private Health Care Systems | PPO | $36,844.80 | ↓ -38% |
| UPMC Health Plan | CHIP | $89,600.45 | ↑ +51% |
| UPMC Health Plan | Commercial | $97,629.29 | ↑ +64% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Icd crtd cobalt hf MRI is1 df1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $33,876.00 | $8,462.03 – $89,600.45 |
| UPMC Cole | Coudersport | $33,408.60 | $10,579.39 – $44,544.80 |
| UPMC Community Osteopathic | Harrisburg | $45,067.20 | $15,022.40 – $89,600.45 |
| UPMC East | Monroeville | $132,543.60 | $9,207.59 – $89,600.45 |
| UPMC Hamot | Erie | $143,409.00 | $16,220.93 – $16,220.93 |
| UPMC Northwest | Seneca | $40,346.40 | $42,099.54 – $108,424.54 |
| UPMC Memorial | York | $45,067.20 | $12,087.27 – $89,600.45 |
| UPMC Mercy | Pittsburgh | $60,282.00 | $16,220.93 – $70,752.35 |