Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$75.00
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.
$125.00
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.
$35.49 with Health Partners Plans (Jefferson Health Plan) vs $106.78 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 | $35.49 | ↓ -53% |
| Aetna | Medicaid | $35.49 | ↓ -53% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $37.26 | ↓ -50% |
| UPMC Health Plan | Managed Medicaid | $39.04 | ↓ -48% |
| Geisinger | Medicaid | $49.33 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $50.71 | ↓ -32% |
| UPMC Health Plan | Managed Medicare | $52.33 | ↓ -30% |
| Highmark Wholecare (prev Gateway) | Medicaid | $52.63 | ↓ -30% |
| UPMC Health Plan | Partners/Select | $53.19 | ↓ -29% |
| United Healthcare | Medicare | $54.90 | ↓ -27% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $55.40 | ↓ -26% |
| Highmark Wholecare (prev Gateway) | Medicare | $55.41 | ↓ -26% |
| Cigna | Medicare | $55.41 | ↓ -26% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $55.41 | ↓ -26% |
| AmeriHealth Caritas | Medicare | $55.41 | ↓ -26% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $60.48 | ↓ -19% |
| Cigna | Commercial | $62.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $62.50 | ↓ -17% |
| United Healthcare | Commercial | $64.08 | ↓ -15% |
| Aetna | Commercial | $66.25 | ↓ -12% |
| Geisinger | Commercial | $68.75 | ↓ -8% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $95.41 | ↑ +27% |
| UPMC Health Plan | CHIP | $98.00 | ↑ +31% |
| Private Health Care Systems | PPO | $100.00 | ↑ +33% |
| UPMC Health Plan | Commercial | $106.78 | ↑ +42% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $75.00 | $18.51 – $112.50 |
| UPMC Carlisle | Carlisle | $75.00 | $17.12 – $106.25 |
| UPMC Cole | Coudersport | $93.00 | $37.26 – $124.00 |
| UPMC Community Osteopathic | Harrisburg | $75.00 | $25.00 – $106.25 |
| UPMC East | Monroeville | $75.00 | $35.49 – $100.00 |
| UPMC Hamot | Erie | $75.00 | $35.49 – $95.41 |
| UPMC Northwest | Seneca | $75.00 | $39.04 – $55.41 |
| UPMC Hanover | Hanover | $75.00 | $35.49 – $82.10 |