Laparoscopy remove adnexa at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$7,589.40
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.
$12,649.00
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.
$1,232.68 with Highmark BCBS of PA vs $10,119.20 with Private Health Care Systems — 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 | $1,232.68 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $1,365.27 | ↓ -82% |
| UPMC Health Plan | CHIP | $3,908.07 | ↓ -49% |
| UPMC Health Plan | Commercial | $4,258.26 | ↓ -44% |
| UPMC Health Plan | Managed Medicare | $5,672.49 | ↓ -25% |
| UPMC Health Plan | Partners/Select | $5,765.94 | ↓ -24% |
| United Healthcare | Medicare | $5,951.73 | ↓ -22% |
| AmeriHealth Caritas | Medicare | $6,007.35 | ↓ -21% |
| Cigna | Medicare | $6,007.35 | ↓ -21% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,007.35 | ↓ -21% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6,007.35 | ↓ -21% |
| Cigna | Commercial | $6,324.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $6,324.50 | ↓ -17% |
| United Healthcare | Commercial | $6,483.88 | ↓ -15% |
| Aetna | Commercial | $6,703.97 | ↓ -12% |
| Geisinger | Medicaid | $6,956.95 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6,956.95 | ↓ -8% |
| Geisinger | Commercial | $6,956.95 | ↓ -8% |
| Private Health Care Systems | PPO | $10,119.20 | ↑ +33% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Laparoscopy remove adnexa at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,213.80 | $560.78 – $1,677.17 |
| UPMC Hamot | Erie | $7,082.40 | $1,232.68 – $8,090.06 |
| UPMC Magee | Pittsburgh | $5,145.00 | $1,244.42 – $6,118.60 |
| UPMC Presbyterian | Pittsburgh | $10,299.60 | $931.20 – $6,118.60 |
| UPMC Williamsport | Williamsport | $7,589.40 | $993.28 – $6,007.35 |
| Uniontown Hospital | Uniontown | $6,675.00 | $205.80 – $12,170.53 |
| UPMC Bedford | Everett | not published | $1,365.27 – $6,007.35 |
| UPMC Carlisle | Carlisle | not published | $1,016.56 – $8,930.03 |