MRI cardiac morph & func wo IV cont at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$3,652.80
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.
?
What you pay up front if you don't use insurance.
$6,088.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$251.71 with Aetna vs $4,870.40 with Private Health Care Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna | Medicaid | $251.71 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $264.30 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $276.88 | ↓ -92% |
| Geisinger | Medicaid | $349.85 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $373.29 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $379.58 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $392.94 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $428.96 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $510.44 | ↓ -86% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $584.85 | ↓ -84% |
| UPMC Health Plan | CHIP | $2,146.31 | ↓ -41% |
| UPMC Health Plan | Commercial | $2,338.64 | ↓ -36% |
| Preferred Healthcare System | PPO | $3,044.00 | ↓ -17% |
| Cigna | Commercial | $3,044.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,044.00 | ↓ -17% |
| United Healthcare | Commercial | $3,120.71 | ↓ -15% |
| Aetna | Commercial | $3,226.64 | ↓ -12% |
| Geisinger | Commercial | $3,348.40 | ↓ -8% |
| Private Health Care Systems | PPO | $4,870.40 | ↑ +33% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
MRI cardiac morph & func wo IV cont at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,656.00 | $228.92 – $2,346.00 |
| UPMC Community Osteopathic | Harrisburg | $1,656.00 | $235.40 – $2,346.00 |
| UPMC Hamot | Erie | $3,375.00 | $265.97 – $697.19 |
| UPMC Hanover | Hanover | $1,656.00 | $228.61 – $729.62 |
| UPMC Kane | Kane | $2,448.60 | $378.20 – $770.16 |
| UPMC Lititz | Lititz | $1,656.00 | $229.84 – $729.62 |
| UPMC Memorial | York | $1,656.00 | $241.76 – $2,133.06 |
| UPMC Muncy | Muncy | $2,514.00 | $322.19 – $745.83 |