Injection, inclisiran, 1 mg at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$42.40
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.
$53.00
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.
$5.20 with Highmark BCBS of PA vs $36.84 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 | $5.20 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $7.78 | ↓ -82% |
| Geisinger | Medicaid | $12.32 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.32 | ↓ -71% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $12.32 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12.32 | ↓ -71% |
| UPMC Health Plan | Managed Medicare | $12.56 | ↓ -70% |
| UPMC Health Plan | Partners/Select | $12.77 | ↓ -70% |
| United Healthcare | Medicare | $13.18 | ↓ -69% |
| Cigna | Medicare | $13.31 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $13.31 | ↓ -69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $13.31 | ↓ -69% |
| AmeriHealth Caritas | Medicare | $13.31 | ↓ -69% |
| UPMC Health Plan | CHIP | $14.08 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $14.13 | ↓ -67% |
| UPMC Health Plan | Commercial | $15.15 | ↓ -64% |
| Preferred Healthcare System | PPO | $19.00 | ↓ -55% |
| Cigna | Commercial | $19.00 | ↓ -55% |
| Aetna | Commercial | $20.14 | ↓ -53% |
| Geisinger | Commercial | $20.90 | ↓ -51% |
| Private Health Care Systems | PPO | $30.40 | ↓ -28% |
| United Healthcare | Commercial | $36.84 | ↓ -13% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection, inclisiran, 1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,348.80 | $12.20 – $1,910.80 |
| UPMC Community Osteopathic | Harrisburg | $1,348.80 | $8.67 – $1,910.80 |
| UPMC Hanover | Hanover | $1,348.80 | $12.20 – $19.71 |
| UPMC Lititz | Lititz | $1,348.80 | $12.20 – $19.71 |
| UPMC Memorial | York | $1,348.80 | $4.24 – $19.71 |
| UPMC Somerset | Somerset | $1,348.80 | $5.15 – $12.32 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $7.98 – $25.94 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $9.90 – $25.94 |