Mopath procedure level 9 at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$8,734.20
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.
$14,557.00
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.
$268.50 with Cigna vs $11,370.09 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 |
|---|---|---|---|
| Cigna | Commercial | $268.50 | ↓ -97% |
| Preferred Healthcare System | PPO | $268.50 | ↓ -97% |
| United Healthcare | Commercial | $275.27 | ↓ -97% |
| Aetna | Commercial | $284.61 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $295.35 | ↓ -97% |
| Geisinger | Commercial | $295.35 | ↓ -97% |
| Geisinger | Medicaid | $295.35 | ↓ -97% |
| Private Health Care Systems | PPO | $429.60 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $1,976.64 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $2,039.60 | ↓ -77% |
| UPMC Health Plan | Partners/Select | $2,073.20 | ↓ -76% |
| United Healthcare | Medicare | $2,140.00 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,160.00 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,160.00 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $2,160.00 | ↓ -75% |
| Cigna | Medicare | $2,160.00 | ↓ -75% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,547.36 | ↓ -71% |
| UPMC Health Plan | CHIP | $10,435.04 | ↑ +19% |
| UPMC Health Plan | Commercial | $11,370.09 | ↑ +30% |
Visitor-reported prices
Comments
Mopath procedure level 9 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $369.60 | $203.28 – $2,571.61 |
| UPMC Hamot | Erie | $8,462.40 | $1,976.64 – $2,547.36 |
| UPMC Northwest | Seneca | $3,327.60 | $1,813.80 – $2,160.00 |
| UPMC Horizon-Greenville | Greenville | $1,947.00 | $1,790.60 – $3,753.00 |
| UPMC Jameson | New Castle | $8,332.80 | $1,403.00 – $2,592.31 |
| UPMC Magee | Pittsburgh | $10,515.00 | $1,871.80 – $2,571.61 |
| UPMC McKeesport | Mckeesport | $348.60 | $1,853.80 – $2,571.61 |
| UPMC Mercy | Pittsburgh | $1,947.00 | $1,667.20 – $2,547.36 |