Mayo mpl sequence analysis exon 10 at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$710.40
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.
$1,184.00
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.
$138.26 with Highmark BCBS of PA vs $853.46 with UPMC Health Plan — 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 | $138.26 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $183.04 | ↓ -74% |
| UPMC Health Plan | Managed Medicare | $188.87 | ↓ -73% |
| UPMC Health Plan | Partners/Select | $191.98 | ↓ -73% |
| United Healthcare | Medicare | $198.16 | ↓ -72% |
| Cigna | Medicare | $200.02 | ↓ -72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $200.02 | ↓ -72% |
| AmeriHealth Caritas | Medicare | $200.02 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicare | $200.02 | ↓ -72% |
| Cigna | Commercial | $419.50 | ↓ -41% |
| Preferred Healthcare System | PPO | $419.50 | ↓ -41% |
| United Healthcare | Commercial | $430.07 | ↓ -39% |
| Aetna | Commercial | $444.67 | ↓ -37% |
| Geisinger | Medicaid | $461.45 | ↓ -35% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $461.45 | ↓ -35% |
| Geisinger | Commercial | $461.45 | ↓ -35% |
| Private Health Care Systems | PPO | $671.20 | ↓ -6% |
| UPMC Health Plan | CHIP | $783.27 | ↑ +10% |
| UPMC Health Plan | Commercial | $853.46 | ↑ +20% |
Visitor-reported prices
Comments
Mayo mpl sequence analysis exon 10 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $513.00 | $66.82 – $769.50 |
| UPMC East | Monroeville | $752.40 | $139.57 – $684.00 |
| UPMC Hamot | Erie | $786.60 | $138.26 – $200.02 |
| UPMC Northwest | Seneca | $752.40 | $167.96 – $200.02 |
| UPMC Horizon-Greenville | Greenville | $752.40 | $165.81 – $223.56 |
| UPMC Jameson | New Castle | $752.40 | $129.92 – $200.02 |
| UPMC Magee | Pittsburgh | $513.00 | $139.57 – $203.72 |
| UPMC McKeesport | Mckeesport | $752.40 | $139.57 – $203.72 |