Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$177.60
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.
$296.00
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.
$34.68 with UPMC Work Partners vs $270.19 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $34.68 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $35.78 | ↓ -80% |
| UPMC Health Plan | Partners/Select | $36.37 | ↓ -80% |
| United Healthcare | Medicare | $37.55 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $37.90 | ↓ -79% |
| Cigna | Medicare | $37.90 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $37.90 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $37.90 | ↓ -79% |
| Aetna | Medicaid | $39.77 | ↓ -78% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $39.77 | ↓ -78% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $41.76 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $43.75 | ↓ -75% |
| Geisinger | Medicaid | $55.28 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicaid | $58.98 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $62.08 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $67.78 | ↓ -62% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $90.15 | ↓ -49% |
| Preferred Healthcare System | PPO | $148.00 | ↓ -17% |
| Cigna | Commercial | $148.00 | ↓ -17% |
| United Healthcare | Commercial | $151.73 | ↓ -15% |
| Aetna | Commercial | $156.88 | ↓ -12% |
| Geisinger | Commercial | $162.80 | ↓ -8% |
| Private Health Care Systems | PPO | $236.80 | ↑ +33% |
| UPMC Health Plan | CHIP | $247.97 | ↑ +40% |
| UPMC Health Plan | Commercial | $270.19 | ↑ +52% |
Visitor-reported prices
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Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $558.60 | $12.66 – $837.90 |
| UPMC Carlisle | Carlisle | $195.60 | $29.71 – $277.10 |
| UPMC Cole | Coudersport | $319.80 | $22.81 – $426.40 |
| UPMC Community Osteopathic | Harrisburg | $195.60 | $34.74 – $277.10 |
| UPMC East | Monroeville | $697.20 | $34.68 – $929.60 |
| UPMC Hamot | Erie | $603.00 | $34.68 – $90.15 |
| UPMC Northwest | Seneca | $306.00 | $31.82 – $45.74 |
| UPMC Horizon-Greenville | Greenville | $526.20 | $31.42 – $65.85 |