Uppr gi scope w/submuc inj at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$1,675.80
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.
$2,793.00
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.
$151.55 with Aetna vs $2,234.40 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 |
|---|---|---|---|
| Aetna | Medicaid | $151.55 | ↓ -91% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $159.13 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $166.71 | ↓ -90% |
| Geisinger | Medicaid | $210.64 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $224.75 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $228.54 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $236.58 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $258.27 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $525.55 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $785.10 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $911.55 | ↓ -46% |
| UPMC Health Plan | Partners/Select | $926.56 | ↓ -45% |
| United Healthcare | Medicare | $956.42 | ↓ -43% |
| Highmark Wholecare (prev Gateway) | Medicare | $965.36 | ↓ -42% |
| Cigna | Medicare | $965.36 | ↓ -42% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $965.36 | ↓ -42% |
| AmeriHealth Caritas | Medicare | $965.36 | ↓ -42% |
| UPMC Health Plan | CHIP | $1,188.99 | ↓ -29% |
| UPMC Health Plan | Commercial | $1,295.53 | ↓ -23% |
| Cigna | Commercial | $1,396.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $1,396.50 | ↓ -17% |
| United Healthcare | Commercial | $1,431.69 | ↓ -15% |
| Aetna | Commercial | $1,480.29 | ↓ -12% |
| Geisinger | Commercial | $1,536.15 | ↓ -8% |
| Private Health Care Systems | PPO | $2,234.40 | ↑ +33% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Uppr gi scope w/submuc inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $4,581.60 | $159.13 – $6,872.40 |
| UPMC Cole | Coudersport | $384.60 | $159.13 – $1,041.88 |
| UPMC East | Monroeville | $3,284.40 | $166.71 – $4,379.20 |
| UPMC Hamot | Erie | $2,088.00 | $166.71 – $1,300.05 |
| UPMC Horizon-Greenville | Greenville | $3,258.00 | $166.71 – $1,527.37 |
| UPMC Jameson | New Castle | $3,258.00 | $166.71 – $1,206.70 |
| UPMC Magee | Pittsburgh | $2,002.80 | $166.71 – $965.36 |
| UPMC McKeesport | Mckeesport | $3,381.00 | $166.71 – $983.24 |