Nm imaging gastric emptying study at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$536.40
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.
$894.00
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.
$99.00 with Aetna vs $789.82 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 |
|---|---|---|---|
| Aetna | Medicaid | $99.00 | ↓ -82% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $103.95 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $108.90 | ↓ -80% |
| Geisinger | Medicaid | $137.60 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicaid | $146.82 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $149.29 | ↓ -72% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $154.55 | ↓ -71% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $168.72 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $232.18 | ↓ -57% |
| UPMC Work Partners | Workers Comp | $343.60 | ↓ -36% |
| Cigna | Commercial | $447.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $447.00 | ↓ -17% |
| Preferred Healthcare System | PPO | $447.00 | ↓ -17% |
| United Healthcare | Commercial | $458.26 | ↓ -15% |
| Aetna | Commercial | $473.82 | ↓ -12% |
| Geisinger | Commercial | $491.70 | ↓ -8% |
| Private Health Care Systems | PPO | $715.20 | ↑ +33% |
| UPMC Health Plan | CHIP | $724.86 | ↑ +35% |
| UPMC Health Plan | Commercial | $789.82 | ↑ +47% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Nm imaging gastric emptying study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $658.20 | $138.22 – $987.30 |
| UPMC Carlisle | Carlisle | $1,228.80 | $19.86 – $615.04 |
| UPMC Cole | Coudersport | $1,176.60 | $141.74 – $1,568.80 |
| UPMC Community Osteopathic | Harrisburg | $1,228.80 | $29.00 – $724.86 |
| UPMC East | Monroeville | $2,135.40 | $148.49 – $2,847.20 |
| UPMC Hamot | Erie | $700.20 | $148.49 – $546.54 |
| UPMC Northwest | Seneca | $896.40 | $148.49 – $503.77 |
| UPMC Hanover | Hanover | $1,228.80 | $129.69 – $614.19 |