Nasal endoscopy dx uni/bi separate proc at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$3,355.20
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.
$5,592.00
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.
$58.86 with Aetna vs $4,473.60 with Private Health Care Systems — 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 |
|---|---|---|---|
| Aetna | Medicaid | $58.86 | ↓ -98% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $61.80 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $64.75 | ↓ -98% |
| Geisinger | Medicaid | $81.81 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $87.29 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $88.76 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $91.89 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $100.31 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $162.33 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $188.75 | ↓ -94% |
| UPMC Health Plan | Partners/Select | $191.86 | ↓ -94% |
| United Healthcare | Medicare | $198.05 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $199.90 | ↓ -94% |
| Cigna | Medicare | $199.90 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $199.90 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $199.90 | ↓ -94% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $545.04 | ↓ -84% |
| UPMC Health Plan | CHIP | $1,732.64 | ↓ -48% |
| UPMC Health Plan | Commercial | $1,887.90 | ↓ -44% |
| Cigna | Commercial | $2,796.00 | ↓ -17% |
| Preferred Healthcare System | PPO | $2,796.00 | ↓ -17% |
| United Healthcare | Commercial | $2,866.46 | ↓ -15% |
| Aetna | Commercial | $2,963.76 | ↓ -12% |
| Geisinger | Commercial | $3,075.60 | ↓ -8% |
| Private Health Care Systems | PPO | $4,473.60 | ↑ +33% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nasal endoscopy dx uni/bi separate proc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $147.00 | $30.77 – $2,325.85 |
| UPMC East | Monroeville | $2,790.00 | $64.75 – $3,720.00 |
| UPMC Hamot | Erie | $3,078.00 | $64.75 – $545.04 |
| UPMC Horizon-Greenville | Greenville | $2,429.40 | $64.75 – $347.32 |
| UPMC Magee | Pittsburgh | $1,485.60 | $64.75 – $550.23 |
| UPMC Mercy | Pittsburgh | $2,450.40 | $64.75 – $545.04 |
| UPMC Passavant-McCandless | Pittsburgh | $2,857.80 | $64.75 – $550.23 |
| UPMC Presbyterian | Pittsburgh | $3,156.00 | $64.75 – $931.20 |