Tc-99m bicisate at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$1,556.40
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.
$2,594.00
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.
$697.34 with UPMC Health Plan vs $2,075.20 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $697.34 | ↓ -55% |
| UPMC Health Plan | Partners/Select | $708.83 | ↓ -54% |
| United Healthcare | Medicare | $731.67 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicare | $738.50 | ↓ -53% |
| Cigna | Medicare | $738.50 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $738.50 | ↓ -53% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $738.50 | ↓ -53% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $788.47 | ↓ -49% |
| Preferred Healthcare System | PPO | $1,297.00 | ↓ -17% |
| Cigna | Commercial | $1,297.00 | ↓ -17% |
| Aetna | Commercial | $1,374.82 | ↓ -12% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,426.70 | ↓ -8% |
| Geisinger | Commercial | $1,426.70 | ↓ -8% |
| Geisinger | Medicaid | $1,426.70 | ↓ -8% |
| UPMC Health Plan | CHIP | $1,556.80 | ↑ +0% |
| UPMC Health Plan | Commercial | $1,696.30 | ↑ +9% |
| United Healthcare | Commercial | $2,051.40 | ↑ +32% |
| Private Health Care Systems | PPO | $2,075.20 | ↑ +33% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Tc-99m bicisate at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hanover | Hanover | $6,316.80 | $676.96 – $1,556.80 |
| UPMC Jameson | New Castle | $1,984.80 | $683.80 – $854.75 |
| UPMC Lititz | Lititz | $6,316.80 | $676.96 – $1,556.80 |
| UPMC Magee | Pittsburgh | $1,872.60 | $639.97 – $795.97 |
| UPMC Mercy | Pittsburgh | $1,984.80 | $570.02 – $788.47 |
| UPMC Muncy | Muncy | $697.80 | $174.45 – $1,046.70 |
| UPMC Presbyterian | Pittsburgh | $2,040.00 | $738.50 – $2,517.07 |
| UPMC Wellsboro | Wellsboro | $844.00 | $189.90 – $949.50 |