Tamoxifen 10 mg tabs 60 each bottle at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$0.40
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.
$0.50
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.
$0.19 with UPMC Work Partners vs $20.75 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $0.19 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicare | $0.25 | ↓ -38% |
| Cigna | Commercial | $0.25 | ↓ -38% |
| Preferred Healthcare System | PPO | $0.25 | ↓ -38% |
| Aetna | Commercial | $0.27 | ↓ -33% |
| Geisinger | Commercial | $0.28 | ↓ -30% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $0.28 | ↓ -30% |
| Geisinger | Medicaid | $0.28 | ↓ -30% |
| Private Health Care Systems | PPO | $0.40 | ↑ +0% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3.36 | ↑ +740% |
| UPMC Health Plan | CHIP | $19.04 | ↑ +4660% |
| UPMC Health Plan | Commercial | $20.75 | ↑ +5088% |
Visitor-reported prices
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Tamoxifen 10 mg tabs 60 each bottle at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $0.80 | $0.12 – $19.04 |
| UPMC Hamot | Erie | $20.00 | $0.22 – $0.22 |
| UPMC Northwest | Seneca | $8.20 | $5.45 – $23.04 |
| UPMC Horizon-Greenville | Greenville | $16.40 | $5.35 – $19.04 |
| UPMC Jameson | New Castle | $5.40 | $0.20 – $19.04 |
| UPMC Magee | Pittsburgh | $48.60 | $0.31 – $19.04 |
| UPMC McKeesport | Mckeesport | $21.60 | $0.22 – $19.04 |
| UPMC Mercy | Pittsburgh | $10.40 | $3.36 – $15.03 |