Procainamide 100 mg/ml injection (wrapper) at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$216.00
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.
$270.00
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.
$24.74 with Highmark BCBS of PA vs $549.09 with United Healthcare — 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 | $24.74 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $27.14 | ↓ -87% |
| Preferred Healthcare System | PPO | $36.50 | ↓ -83% |
| Cigna | Commercial | $36.50 | ↓ -83% |
| Aetna | Commercial | $38.69 | ↓ -82% |
| Geisinger | Commercial | $40.15 | ↓ -81% |
| Private Health Care Systems | PPO | $58.40 | ↓ -73% |
| UPMC Health Plan | CHIP | $169.78 | ↓ -21% |
| UPMC Health Plan | Managed Medicaid | $186.07 | ↓ -14% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $294.69 | ↑ +36% |
| Highmark Wholecare (prev Gateway) | Medicaid | $294.69 | ↑ +36% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $294.69 | ↑ +36% |
| Geisinger | Medicaid | $294.69 | ↑ +36% |
| UPMC Health Plan | Managed Medicare | $300.52 | ↑ +39% |
| UPMC Health Plan | Partners/Select | $305.48 | ↑ +41% |
| United Healthcare | Medicare | $315.32 | ↑ +46% |
| Cigna | Medicare | $318.27 | ↑ +47% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $318.27 | ↑ +47% |
| Highmark Wholecare (prev Gateway) | Medicare | $318.27 | ↑ +47% |
| AmeriHealth Caritas | Medicare | $318.27 | ↑ +47% |
| UPMC Health Plan | Commercial | $362.47 | ↑ +68% |
| United Healthcare | Commercial | $549.09 | ↑ +154% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Procainamide 100 mg/ml injection (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $36.00 | $1.23 – $471.50 |
| UPMC Cole | Coudersport | $106.20 | $2.49 – $294.69 |
| UPMC Community Osteopathic | Harrisburg | $36.00 | $1.80 – $362.47 |
| UPMC East | Monroeville | $148.80 | $16.62 – $309.42 |
| UPMC Hamot | Erie | $222.40 | $24.74 – $318.27 |
| UPMC Hanover | Hanover | $36.00 | $206.31 – $471.50 |
| UPMC Horizon-Greenville | Greenville | $52.00 | $63.05 – $318.27 |
| UPMC Jameson | New Castle | $200.00 | $25.18 – $368.36 |