Inj mogamulizumab-kpkc, 1 mg at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$647.20
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.
$809.00
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.
$120.93 with Highmark BCBS of PA vs $729.96 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 | $120.93 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $156.90 | ↓ -76% |
| Geisinger | Medicaid | $248.50 | ↓ -62% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $248.50 | ↓ -62% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $248.50 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicaid | $248.50 | ↓ -62% |
| UPMC Health Plan | Managed Medicare | $253.42 | ↓ -61% |
| UPMC Health Plan | Partners/Select | $257.60 | ↓ -60% |
| United Healthcare | Medicare | $265.89 | ↓ -59% |
| Cigna | Medicare | $268.38 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicare | $268.38 | ↓ -59% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $268.38 | ↓ -59% |
| AmeriHealth Caritas | Medicare | $268.38 | ↓ -59% |
| UPMC Health Plan | CHIP | $271.72 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $296.32 | ↓ -54% |
| UPMC Health Plan | Commercial | $305.65 | ↓ -53% |
| Preferred Healthcare System | PPO | $398.50 | ↓ -38% |
| Cigna | Commercial | $398.50 | ↓ -38% |
| Aetna | Commercial | $422.41 | ↓ -35% |
| Geisinger | Commercial | $438.35 | ↓ -32% |
| Private Health Care Systems | PPO | $637.60 | ↓ -1% |
| United Healthcare | Commercial | $729.96 | ↑ +13% |
| 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 mogamulizumab-kpkc, 1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $691.20 | $89.66 – $777.60 |
| UPMC Carlisle | Carlisle | $540.60 | $123.44 – $765.85 |
| UPMC Cole | Coudersport | $11,674.80 | $248.50 – $15,566.40 |
| UPMC Community Osteopathic | Harrisburg | $540.60 | $180.20 – $765.85 |
| UPMC East | Monroeville | $691.20 | $103.33 – $691.20 |
| UPMC Hamot | Erie | $733.60 | $120.93 – $268.38 |
| UPMC Northwest | Seneca | $691.20 | $156.90 – $268.38 |
| UPMC Hanover | Hanover | $540.60 | $246.01 – $397.60 |