Rmvl icd by tv extr at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$2,798.40
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.
$4,664.00
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.
$1,598.33 with Highmark BCBS of PA vs $16,691.05 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,598.33 | ↓ -43% |
| UPMC Work Partners | Workers Comp | $1,700.87 | ↓ -39% |
| Cigna | Commercial | $2,332.00 | ↓ -17% |
| Preferred Healthcare System | PPO | $2,332.00 | ↓ -17% |
| United Healthcare | Commercial | $2,390.77 | ↓ -15% |
| Aetna | Commercial | $2,471.92 | ↓ -12% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,565.20 | ↓ -8% |
| Geisinger | Commercial | $2,565.20 | ↓ -8% |
| Geisinger | Medicaid | $2,565.20 | ↓ -8% |
| UPMC Health Plan | Managed Medicare | $3,538.34 | ↑ +26% |
| UPMC Health Plan | Partners/Select | $3,596.63 | ↑ +29% |
| United Healthcare | Medicare | $3,712.51 | ↑ +33% |
| Private Health Care Systems | PPO | $3,731.20 | ↑ +33% |
| Cigna | Medicare | $3,747.21 | ↑ +34% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,747.21 | ↑ +34% |
| AmeriHealth Caritas | Medicare | $3,747.21 | ↑ +34% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,747.21 | ↑ +34% |
| UPMC Health Plan | CHIP | $15,318.41 | ↑ +447% |
| UPMC Health Plan | Commercial | $16,691.05 | ↑ +496% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Rmvl icd by tv extr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,589.40 | $1,016.56 – $6,501.65 |
| UPMC Community Osteopathic | Harrisburg | $4,589.40 | $1,016.56 – $15,318.41 |
| UPMC Hamot | Erie | $3,372.00 | $1,598.33 – $5,046.33 |
| UPMC Hanover | Hanover | $4,589.40 | $1,016.56 – $15,318.41 |
| UPMC Lititz | Lititz | $4,589.40 | $1,016.56 – $15,318.41 |
| UPMC Memorial | York | $4,589.40 | $1,016.56 – $15,318.41 |
| UPMC Mercy | Pittsburgh | $4,519.80 | $1,598.33 – $3,816.60 |
| UPMC Passavant-McCandless | Pittsburgh | $3,049.80 | $1,613.55 – $3,816.60 |