healthcosts.net
Pelvic MRI (with and without contrast) at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$2,604.00
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.
$4,340.00
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.
$425.00 with UPMC Work Partners vs $3,472.00 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $425.00 | ↓ -84% |
| Aetna | Medicaid | $472.26 | ↓ -82% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $495.87 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $519.49 | ↓ -80% |
| Geisinger | Medicaid | $656.39 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $700.36 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $712.17 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $737.25 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $804.83 | ↓ -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 | $1,000.87 | ↓ -62% |
| UPMC Health Plan | CHIP | $1,647.86 | ↓ -37% |
| UPMC Health Plan | Commercial | $1,795.52 | ↓ -31% |
| Cigna | Commercial | $2,170.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,170.00 | ↓ -17% |
| Preferred Healthcare System | PPO | $2,170.00 | ↓ -17% |
| United Healthcare | Commercial | $2,224.68 | ↓ -15% |
| Aetna | Commercial | $2,300.20 | ↓ -12% |
| Geisinger | Commercial | $2,387.00 | ↓ -8% |
| Private Health Care Systems | PPO | $3,472.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Pelvic MRI (with and without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,713.80 | $338.22 – $3,844.55 |
| UPMC Bedford | Everett | $2,563.20 | $122.85 – $3,844.80 |
| UPMC Cole | Coudersport | $1,912.20 | $422.26 – $2,549.60 |
| UPMC Community Osteopathic | Harrisburg | $2,713.80 | $347.79 – $2,385.95 |
| UPMC East | Monroeville | $6,218.40 | $341.40 – $8,291.20 |
| UPMC Hamot | Erie | $2,415.00 | $271.09 – $2,817.50 |
| UPMC Hanover | Hanover | $2,713.80 | $337.76 – $3,935.01 |
| UPMC Horizon-Greenville | Greenville | $4,192.80 | $304.83 – $5,939.80 |