Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$5,152.80
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.
$8,588.00
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.
$226.50 with Aetna vs $6,870.40 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 |
|---|---|---|---|
| Aetna | Medicaid | $226.50 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $237.82 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $249.15 | ↓ -95% |
| Geisinger | Medicaid | $314.81 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $335.90 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $341.56 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $353.59 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $386.00 | ↓ -93% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $836.96 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $1,493.19 | ↓ -71% |
| UPMC Health Plan | Managed Medicare | $1,778.48 | ↓ -65% |
| UPMC Health Plan | Partners/Select | $1,807.78 | ↓ -65% |
| United Healthcare | Medicare | $1,866.03 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,883.47 | ↓ -63% |
| Cigna | Medicare | $1,883.47 | ↓ -63% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,883.47 | ↓ -63% |
| AmeriHealth Caritas | Medicare | $1,883.47 | ↓ -63% |
| UPMC Health Plan | CHIP | $2,654.06 | ↓ -48% |
| UPMC Health Plan | Commercial | $2,891.89 | ↓ -44% |
| Cigna | Commercial | $4,294.00 | ↓ -17% |
| Preferred Healthcare System | PPO | $4,294.00 | ↓ -17% |
| United Healthcare | Commercial | $4,402.21 | ↓ -15% |
| Aetna | Commercial | $4,551.64 | ↓ -12% |
| Geisinger | Commercial | $4,723.40 | ↓ -8% |
| Private Health Care Systems | PPO | $6,870.40 | ↑ +33% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,421.40 | $237.82 – $1,895.20 |
| UPMC Hamot | Erie | $4,755.00 | $249.15 – $2,536.45 |
| UPMC Presbyterian | Pittsburgh | $9,337.20 | $249.15 – $1,918.35 |
| UPMC St. Margaret | Pittsburgh | $3,955.80 | $249.15 – $1,663.63 |
| Uniontown Hospital | Uniontown | $2,371.50 | $205.80 – $4,153.69 |
| UPMC Magee | Pittsburgh | not published | $249.15 – $1,883.47 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $1,784.34 – $10,638.00 |