Pt prgrm for implt neurostim at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$2,188.20
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.
$3,647.00
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.
$692.93 with Health Partners Plans (Jefferson Health Plan) vs $5,648.68 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $692.93 | ↓ -68% |
| Geisinger | Medicaid | $1,203.51 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,422.33 | ↓ -35% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,608.16 | ↓ -27% |
| Cigna | Commercial | $1,823.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,823.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $1,823.50 | ↓ -17% |
| Aetna | Commercial | $1,932.91 | ↓ -12% |
| Geisinger | Commercial | $2,005.85 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,005.85 | ↓ -8% |
| UPMC Work Partners | Workers Comp | $2,027.87 | ↓ -7% |
| Private Health Care Systems | PPO | $2,917.60 | ↑ +33% |
| UPMC Health Plan | CHIP | $5,184.14 | ↑ +137% |
| UPMC Health Plan | Commercial | $5,648.68 | ↑ +158% |
Visitor-reported prices
Comments
Pt prgrm for implt neurostim at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $2,143.80 | $678.87 – $5,184.14 |
| UPMC Horizon-Greenville | Greenville | $2,364.60 | $2,027.87 – $5,184.14 |
| UPMC McKeesport | Mckeesport | $2,656.80 | $698.41 – $5,184.14 |
| UPMC Mercy | Pittsburgh | $2,143.80 | $1,608.16 – $4,093.62 |
| UPMC Muncy | Muncy | $2,533.80 | $2,027.87 – $2,169.35 |
| UPMC Passavant-McCandless | Pittsburgh | $3,354.00 | $1,623.47 – $7,522.84 |
| UPMC Presbyterian | Pittsburgh | $1,780.80 | $1,623.47 – $8,381.84 |