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Ultrasound breast unilateral limited (both sides) at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$253.80
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.
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What you pay up front if you don't use insurance.
$423.00
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.
$34.59 with Highmark BCBS of PA vs $338.40 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $34.59 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $70.13 | ↓ -72% |
| UPMC Health Plan | CHIP | $196.39 | ↓ -23% |
| Preferred Healthcare System | PPO | $211.50 | ↓ -17% |
| Cigna | Commercial | $211.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $211.50 | ↓ -17% |
| UPMC Health Plan | Commercial | $213.99 | ↓ -16% |
| United Healthcare | Commercial | $216.83 | ↓ -15% |
| Aetna | Commercial | $224.19 | ↓ -12% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $232.65 | ↓ -8% |
| Geisinger | Medicaid | $232.65 | ↓ -8% |
| Geisinger | Commercial | $232.65 | ↓ -8% |
| Private Health Care Systems | PPO | $338.40 | ↑ +33% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound breast unilateral limited (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $291.00 | $30.29 – $436.50 |
| UPMC Carlisle | Carlisle | $280.20 | $16.44 – $134.77 |
| UPMC Northwest | Seneca | $400.20 | $54.53 – $566.95 |
| UPMC Mercy | Pittsburgh | $370.80 | $34.59 – $556.20 |
| UPMC Muncy | Muncy | $479.40 | $52.40 – $639.20 |
| UPMC Passavant-McCandless | Pittsburgh | $894.00 | $34.92 – $1,266.50 |
| UPMC Presbyterian | Pittsburgh | $1,187.40 | $34.92 – $1,682.15 |
| UPMC Somerset | Somerset | $372.60 | $34.24 – $116.07 |