Njx aa&/strd sc nrv nfs img at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$1,909.20
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.
?
What you pay up front if you don't use insurance.
$3,182.00
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.
$82.36 with Aetna vs $3,746.14 with UPMC Health Plan — 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 | $82.36 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $86.48 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $90.60 | ↓ -95% |
| Geisinger | Medicaid | $114.47 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $122.14 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $124.20 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $128.57 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $140.36 | ↓ -93% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $307.09 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $310.13 | ↓ -84% |
| UPMC Health Plan | Managed Medicare | $865.59 | ↓ -55% |
| UPMC Health Plan | Partners/Select | $879.85 | ↓ -54% |
| United Healthcare | Medicare | $908.19 | ↓ -52% |
| Cigna | Medicare | $916.68 | ↓ -52% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $916.68 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $916.68 | ↓ -52% |
| AmeriHealth Caritas | Medicare | $916.68 | ↓ -52% |
| Cigna | Commercial | $1,591.00 | ↓ -17% |
| Preferred Healthcare System | PPO | $1,591.00 | ↓ -17% |
| United Healthcare | Commercial | $1,631.09 | ↓ -15% |
| Aetna | Commercial | $1,686.46 | ↓ -12% |
| Geisinger | Commercial | $1,750.10 | ↓ -8% |
| Private Health Care Systems | PPO | $2,545.60 | ↑ +33% |
| UPMC Health Plan | CHIP | $3,438.06 | ↑ +80% |
| UPMC Health Plan | Commercial | $3,746.14 | ↑ +96% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Njx aa&/strd sc nrv nfs img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $1,497.00 | $90.60 – $1,996.00 |
| UPMC Horizon-Greenville | Greenville | $1,523.40 | $90.60 – $916.68 |
| UPMC Magee | Pittsburgh | $1,715.40 | $90.60 – $916.68 |
| UPMC Mercy | Pittsburgh | $2,070.60 | $90.60 – $933.66 |
| UPMC Passavant-McCandless | Pittsburgh | $1,544.40 | $90.60 – $933.66 |
| UPMC Presbyterian | Pittsburgh | $3,063.60 | $90.60 – $933.66 |
| UPMC St. Margaret | Pittsburgh | $1,990.20 | $90.60 – $933.66 |
| UPMC Williamsport | Williamsport | $1,963.80 | $90.60 – $993.28 |