Rp loclzj tum spect w/ct 1 at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$2,767.80
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.
?
What you pay up front if you don't use insurance.
$4,613.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$227.76 with Highmark BCBS of PA vs $6,715.46 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $227.76 | ↓ -92% |
| Aetna | Medicaid | $325.48 | ↓ -88% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $341.75 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $358.03 | ↓ -87% |
| Geisinger | Medicaid | $452.38 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $482.69 | ↓ -83% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $490.82 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $492.87 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $508.11 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $554.68 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,306.50 | ↓ -17% |
| Cigna | Commercial | $2,306.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $2,306.50 | ↓ -17% |
| United Healthcare | Commercial | $2,364.62 | ↓ -15% |
| Aetna | Commercial | $2,444.89 | ↓ -12% |
| Geisinger | Commercial | $2,537.15 | ↓ -8% |
| Private Health Care Systems | PPO | $3,690.40 | ↑ +33% |
| UPMC Health Plan | CHIP | $6,163.19 | ↑ +123% |
| UPMC Health Plan | Commercial | $6,715.46 | ↑ +143% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Rp loclzj tum spect w/ct 1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,242.60 | $426.38 – $6,010.35 |
| UPMC Community Osteopathic | Harrisburg | $4,242.60 | $426.38 – $6,163.19 |
| UPMC East | Monroeville | $2,929.80 | $229.93 – $3,906.40 |
| UPMC Hanover | Hanover | $4,242.60 | $426.38 – $1,995.41 |
| UPMC Lititz | Lititz | $4,242.60 | $426.38 – $2,006.18 |
| UPMC Magee | Pittsburgh | $2,764.20 | $229.93 – $1,344.19 |
| UPMC Memorial | York | $4,242.60 | $185.63 – $2,659.86 |
| UPMC Muncy | Muncy | $2,767.80 | $416.61 – $653.42 |