Tc-99m exametazime diag at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$9,344.40
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.
$15,574.00
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.
$818.23 with UPMC Health Plan vs $12,459.20 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 | $818.23 | ↓ -91% |
| UPMC Health Plan | Partners/Select | $831.71 | ↓ -91% |
| United Healthcare | Medicare | $858.50 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $866.53 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $866.53 | ↓ -91% |
| Cigna | Medicare | $866.53 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $866.53 | ↓ -91% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,655.50 | ↓ -82% |
| United Healthcare | Commercial | $2,407.02 | ↓ -74% |
| UPMC Health Plan | CHIP | $3,270.62 | ↓ -65% |
| UPMC Health Plan | Commercial | $3,563.70 | ↓ -62% |
| Cigna | Commercial | $7,787.00 | ↓ -17% |
| Preferred Healthcare System | PPO | $7,787.00 | ↓ -17% |
| Aetna | Commercial | $8,254.22 | ↓ -12% |
| Geisinger | Commercial | $8,565.70 | ↓ -8% |
| Geisinger | Medicaid | $8,565.70 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $8,565.70 | ↓ -8% |
| Private Health Care Systems | PPO | $12,459.20 | ↑ +33% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,335.00 | $616.77 – $1,780.00 |
| UPMC East | Monroeville | $9,442.80 | $802.34 – $12,590.40 |
| UPMC Hamot | Erie | $3,633.00 | $802.34 – $1,655.50 |
| UPMC Northwest | Seneca | $1,750.20 | $727.64 – $866.53 |
| UPMC Horizon-Greenville | Greenville | $3,621.00 | $718.34 – $1,505.59 |
| UPMC Jameson | New Castle | $2,082.00 | $802.34 – $1,684.72 |
| UPMC Magee | Pittsburgh | $566.40 | $750.91 – $1,671.27 |
| UPMC McKeesport | Mckeesport | $4,600.20 | $743.69 – $1,671.27 |