Nm imaging pulmonary ventilation/perfusion at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$1,138.20
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.
$1,897.00
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.
$198.81 with Aetna vs $1,517.60 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 | $198.81 | ↓ -83% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $208.75 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $218.69 | ↓ -81% |
| Geisinger | Medicaid | $276.33 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $294.84 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $299.81 | ↓ -74% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $310.36 | ↓ -73% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $316.52 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $338.81 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $366.39 | ↓ -68% |
| UPMC Health Plan | CHIP | $905.97 | ↓ -20% |
| Cigna | Commercial | $948.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $948.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $948.50 | ↓ -17% |
| United Healthcare | Commercial | $972.40 | ↓ -15% |
| UPMC Health Plan | Commercial | $987.15 | ↓ -13% |
| Aetna | Commercial | $1,005.41 | ↓ -12% |
| Geisinger | Commercial | $1,043.35 | ↓ -8% |
| Private Health Care Systems | PPO | $1,517.60 | ↑ +33% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nm imaging pulmonary ventilation/perfusion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $1,762.80 | $185.16 – $2,644.20 |
| UPMC Carlisle | Carlisle | $1,574.40 | $260.44 – $2,230.40 |
| UPMC Cole | Coudersport | $1,116.00 | $250.09 – $1,488.00 |
| UPMC Community Osteopathic | Harrisburg | $1,574.40 | $260.44 – $2,230.40 |
| UPMC East | Monroeville | $1,366.80 | $262.00 – $1,822.40 |
| UPMC Hamot | Erie | $1,479.60 | $262.00 – $700.71 |
| UPMC Northwest | Seneca | $1,666.20 | $262.00 – $538.84 |
| UPMC Hanover | Hanover | $1,574.40 | $260.44 – $822.74 |