Inj, tyenne, 1 mg at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$12.60
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.
$15.75
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.
$1.97 with Highmark BCBS of PA vs $12.33 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 | $1.97 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $2.79 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $4.42 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4.42 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.42 | ↓ -65% |
| Geisinger | Medicaid | $4.42 | ↓ -65% |
| UPMC Health Plan | Managed Medicare | $4.51 | ↓ -64% |
| UPMC Health Plan | Partners/Select | $4.58 | ↓ -64% |
| United Healthcare | Medicare | $4.73 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.77 | ↓ -62% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.77 | ↓ -62% |
| Cigna | Medicare | $4.77 | ↓ -62% |
| AmeriHealth Caritas | Medicare | $4.77 | ↓ -62% |
| UPMC Health Plan | CHIP | $5.25 | ↓ -58% |
| UPMC Health Plan | Commercial | $5.43 | ↓ -57% |
| UPMC Work Partners | Workers Comp | $5.58 | ↓ -56% |
| Preferred Healthcare System | PPO | $7.50 | ↓ -40% |
| Cigna | Commercial | $7.50 | ↓ -40% |
| Aetna | Commercial | $7.95 | ↓ -37% |
| Geisinger | Commercial | $8.25 | ↓ -35% |
| Private Health Care Systems | PPO | $12.00 | ↓ -5% |
| United Healthcare | Commercial | $12.33 | ↓ -2% |
Visitor-reported prices
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Inj, tyenne, 1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| WellSpan Chambersburg Hospital | Chambersburg | $4,456.60 | $4.70 – $7,855.70 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $3.03 – $9.85 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $3.76 – $9.85 |