Special supplies phys/qhp at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$359.40
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.
?
What you pay up front if you don't use insurance.
$599.00
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.
$25.58 with Highmark BCBS of PA vs $479.20 with Private Health Care Systems — 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 | $25.58 | ↓ -93% |
| UPMC Health Plan | CHIP | $69.72 | ↓ -81% |
| UPMC Health Plan | Commercial | $75.97 | ↓ -79% |
| Cigna | Commercial | $299.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $299.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $299.50 | ↓ -17% |
| Aetna | Commercial | $317.47 | ↓ -12% |
| Geisinger | Commercial | $329.45 | ↓ -8% |
| Geisinger | Medicaid | $329.45 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $329.45 | ↓ -8% |
| Private Health Care Systems | PPO | $479.20 | ↑ +33% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Special supplies phys/qhp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $55.20 | $12.60 – $78.20 |
| UPMC Cole | Coudersport | $319.80 | $69.72 – $426.40 |
| UPMC Community Osteopathic | Harrisburg | $55.20 | $18.40 – $159.92 |
| UPMC Lititz | Lititz | $55.20 | $16.50 – $69.72 |
| UPMC Memorial | York | $55.20 | $16.50 – $69.72 |
| UPMC Passavant-McCandless | Pittsburgh | $648.60 | $25.82 – $101.17 |
| UPMC Somerset | Somerset | $55.20 | $25.32 – $41.76 |