Pretreat rbc w enzyme reference at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$105.00
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.
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What you pay up front if you don't use insurance.
$175.00
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.
$59.04 with Highmark BCBS of PA vs $176.44 with Cigna — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $59.04 | ↓ -44% |
| Cigna | Commercial | $87.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $87.50 | ↓ -17% |
| United Healthcare | Commercial | $89.70 | ↓ -15% |
| Aetna | Commercial | $92.75 | ↓ -12% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $96.25 | ↓ -8% |
| Geisinger | Commercial | $96.25 | ↓ -8% |
| Geisinger | Medicaid | $96.25 | ↓ -8% |
| Private Health Care Systems | PPO | $140.00 | ↑ +33% |
| UPMC Health Plan | CHIP | $161.67 | ↑ +54% |
| UPMC Health Plan | Managed Medicare | $166.60 | ↑ +59% |
| UPMC Health Plan | Partners/Select | $169.35 | ↑ +61% |
| United Healthcare | Medicare | $174.81 | ↑ +66% |
| UPMC Health Plan | Commercial | $176.16 | ↑ +68% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.44 | ↑ +68% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $176.44 | ↑ +68% |
| AmeriHealth Caritas | Medicare | $176.44 | ↑ +68% |
| Cigna | Medicare | $176.44 | ↑ +68% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Pretreat rbc w enzyme reference at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $141.00 | $45.09 – $211.50 |
| UPMC East | Monroeville | $322.20 | $44.47 – $429.60 |
| UPMC Horizon-Greenville | Greenville | $181.80 | $45.03 – $176.44 |
| UPMC Jameson | New Castle | $181.80 | $1.76 – $227.37 |
| UPMC Magee | Pittsburgh | $225.60 | $47.06 – $179.71 |
| UPMC McKeesport | Mckeesport | $238.80 | $45.65 – $179.71 |
| UPMC Mercy | Pittsburgh | $222.60 | $44.60 – $179.71 |
| UPMC Passavant-McCandless | Pittsburgh | $219.00 | $44.87 – $179.71 |