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Radphm lcl tmr plnr bdy two day img at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$2,796.00
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.
$4,660.00
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.
$232.80 with Highmark BCBS of PA vs $3,728.00 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $232.80 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $299.35 | ↓ -89% |
| Aetna | Medicaid | $315.10 | ↓ -89% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $330.86 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $346.61 | ↓ -88% |
| Geisinger | Medicaid | $437.96 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $467.29 | ↓ -83% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $475.17 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $491.90 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $536.99 | ↓ -81% |
| UPMC Health Plan | CHIP | $1,212.23 | ↓ -57% |
| UPMC Health Plan | Commercial | $1,320.86 | ↓ -53% |
| Cigna | Commercial | $2,330.00 | ↓ -17% |
| Preferred Healthcare System | PPO | $2,330.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,330.00 | ↓ -17% |
| United Healthcare | Commercial | $2,388.72 | ↓ -15% |
| Aetna | Commercial | $2,469.80 | ↓ -12% |
| Geisinger | Commercial | $2,563.00 | ↓ -8% |
| Private Health Care Systems | PPO | $3,728.00 | ↑ +33% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Radphm lcl tmr plnr bdy two day img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,242.60 | $412.78 – $6,010.35 |
| UPMC Mercy | Pittsburgh | $3,076.80 | $232.80 – $4,615.20 |
| UPMC Muncy | Muncy | $2,386.20 | $394.09 – $3,181.60 |
| UPMC Passavant-McCandless | Pittsburgh | $4,002.60 | $235.01 – $5,670.35 |
| UPMC Presbyterian | Pittsburgh | $1,791.00 | $235.01 – $2,537.25 |
| UPMC Somerset | Somerset | $4,242.60 | $230.44 – $5,303.25 |
| UPMC St. Margaret | Pittsburgh | $1,219.80 | $235.01 – $1,728.05 |
| UPMC Wellsboro | Wellsboro | $2,886.40 | $394.09 – $3,247.20 |