Leuprolide 3.75 mg intramuscular syringe kit at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$2,737.80
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.
$4,563.00
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.
$945.16 with Highmark BCBS of PA vs $5,000.34 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 | $945.16 | ↓ -65% |
| UPMC Health Plan | Managed Medicaid | $1,092.53 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $1,696.52 | ↓ -38% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,730.32 | ↓ -37% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,730.32 | ↓ -37% |
| Geisinger | Medicaid | $1,730.32 | ↓ -37% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,730.32 | ↓ -37% |
| UPMC Health Plan | Managed Medicare | $1,764.58 | ↓ -36% |
| UPMC Health Plan | Partners/Select | $1,793.65 | ↓ -34% |
| UPMC Health Plan | CHIP | $1,815.53 | ↓ -34% |
| United Healthcare | Medicare | $1,851.44 | ↓ -32% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,868.75 | ↓ -32% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,868.75 | ↓ -32% |
| Cigna | Medicare | $1,868.75 | ↓ -32% |
| AmeriHealth Caritas | Medicare | $1,868.75 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,128.30 | ↓ -22% |
| Cigna | Commercial | $2,281.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $2,281.50 | ↓ -17% |
| Aetna | Commercial | $2,418.39 | ↓ -12% |
| Geisinger | Commercial | $2,509.65 | ↓ -8% |
| Private Health Care Systems | PPO | $3,650.40 | ↑ +33% |
| United Healthcare | Commercial | $5,000.34 | ↑ +83% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Leuprolide 3.75 mg intramuscular syringe kit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,087.60 | $234.96 – $2,768.51 |
| UPMC Cole | Coudersport | $30,538.80 | $1,722.24 – $4,970.40 |
| UPMC Community Osteopathic | Harrisburg | $3,087.60 | $343.00 – $2,128.30 |
| UPMC East | Monroeville | $4,568.40 | $859.09 – $5,746.40 |
| UPMC Hamot | Erie | $2,710.80 | $945.16 – $1,868.75 |
| UPMC Northwest | Seneca | $6,521.40 | $1,092.53 – $1,868.75 |
| UPMC Hanover | Hanover | $3,087.60 | $1,713.02 – $2,768.51 |
| UPMC Horizon-Greenville | Greenville | $2,826.60 | $1,092.53 – $1,868.75 |