Inj efgart-alfa 2mg hya-qvfc at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$84.00
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.
$105.00
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.
$13.33 with Highmark BCBS of PA vs $99.30 with United Healthcare — 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 | $13.33 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $21.40 | ↓ -75% |
| Geisinger | Medicaid | $33.89 | ↓ -60% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $33.89 | ↓ -60% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $33.89 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicaid | $33.89 | ↓ -60% |
| UPMC Health Plan | Managed Medicare | $34.56 | ↓ -59% |
| UPMC Health Plan | Partners/Select | $35.13 | ↓ -58% |
| United Healthcare | Medicare | $36.26 | ↓ -57% |
| Cigna | Medicare | $36.60 | ↓ -56% |
| Highmark Wholecare (prev Gateway) | Medicare | $36.60 | ↓ -56% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $36.60 | ↓ -56% |
| AmeriHealth Caritas | Medicare | $36.60 | ↓ -56% |
| UPMC Health Plan | CHIP | $36.75 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $39.04 | ↓ -54% |
| UPMC Health Plan | Commercial | $41.68 | ↓ -50% |
| Preferred Healthcare System | PPO | $52.50 | ↓ -38% |
| Cigna | Commercial | $52.50 | ↓ -38% |
| Aetna | Commercial | $55.65 | ↓ -34% |
| Geisinger | Commercial | $57.75 | ↓ -31% |
| Private Health Care Systems | PPO | $84.00 | ↑ +0% |
| United Healthcare | Commercial | $99.30 | ↑ +18% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Inj efgart-alfa 2mg hya-qvfc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,723.20 | $33.55 – $2,441.20 |
| UPMC Community Osteopathic | Harrisburg | $1,723.20 | $22.19 – $2,441.20 |
| UPMC Hanover | Hanover | $1,723.20 | $33.55 – $54.22 |
| UPMC Lititz | Lititz | $1,723.20 | $33.55 – $54.22 |
| UPMC Memorial | York | $1,723.20 | $10.86 – $54.22 |
| UPMC Somerset | Somerset | $1,723.20 | $13.19 – $33.89 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $21.80 – $70.85 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $27.05 – $70.85 |