UPMC · Altoona, PA
30
In-network payers
256
Disclosed rate categories
368
Beds
3
Care quality
Upmc Altoona is a 368-bed voluntary non-profit - private hospital in Altoona, PA, affiliated with UPMC. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 256 disclosed rate categories.
CCN (Medicare provider number)
390073
NPI
1649278730
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
368
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Upmc Altoona most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$7,378 - $9,470
from 4 insurers · median $9,110
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$11,010 - $14,652
from 4 insurers · median $11,999
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$1,629 - $2,669
from 4 insurers · median $2,310
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$2,675 - $7,208
from 2 insurers · median $4,942
28 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$36,174 - $52,930
from 4 insurers · median $46,234
22 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$7,378 - $9,470
from 4 insurers · median $9,110
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 216
$108,837 - $140,965
from 4 insurers · median $133,030
Hospital reports cardiac thoracic surgery services to CMS
CT imaging
CPT 74176
$1,352 - $2,024
from 4 insurers · median $1,875
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$5,580 - $8,710
from 2 insurers · median $7,145
76 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$722 - $821
from 4 insurers · median $795
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,220 - $1,304
from 4 insurers · median $1,246
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$181 - $299
from 4 insurers · median $291
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$2,170 - $3,717
from 4 insurers · median $2,465
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$4,918 - $10,690
from 4 insurers · median $5,598
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$749 - $1,208
from 4 insurers · median $1,127
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,397 - $2,425
from 4 insurers · median $1,803
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$3,087 - $9,069
from 2 insurers · median $6,078
33 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Digestive procedures
CPT 45385
$1,471 - $2,121
from 4 insurers · median $1,711
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,471 - $2,577
from 4 insurers · median $1,841
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$3,255 - $5,544
from 2 insurers · median $4,400
76 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$5,428 - $7,575
from 2 insurers · median $6,502
25 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$4,303 - $5,932
from 2 insurers · median $5,118
Typical for a hospital with this service line
MRI imaging
CPT 74183
$2,170 - $3,123
from 4 insurers · median $2,623
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,473 - $2,550
from 4 insurers · median $2,142
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 18 | 345% | 1 | 0 |
| Insurer B* | 18 | 337% | 9 | 1 |
| Insurer C* | 24 | 252% | 17 | 2 |
| Insurer D* | 24 | 196% | 9 | 11 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Upmc Altoona.
620 Howard Avenue, Altoona, PA 16601
(814) 889-2011
The nearest hospitals of similar type and size. Their rates are compared with Upmc Altoona for the same insurers and services above.
Conemaugh Memorial Medical Center
▼ Rates typically 15% lower than Upmc Altoona (20 services)
Mount Nittany Medical Center
▲ Rates typically 34% higher than Upmc Altoona (21 services)
Dubois Regional Medical Center
Rates about the same as Upmc Altoona (21 services)
The Chambersburg Hospital
▲ Rates typically 104% higher than Upmc Altoona (20 services)
Excela Westmoreland Hospital
▼ Rates typically 24% lower than Upmc Altoona (21 services)
Upmc Western Maryland
▼ Rates typically 59% lower than Upmc Altoona (18 services)
Upmc Memorial
Upmc East
Upmc Passavant - Cranberry
Upmc Magee-Womens Hospital
About Upmc Altoona's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Upmc Altoona range from $2,170 to $3,717 across 4 insurers. UnitedHealthcare's rate is $2,225. The median at nearby comparable hospitals is $832. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Upmc Altoona range from $1,629 to $2,669 across 4 insurers. Blue Cross Blue Shield's rate is $1,629. The median at nearby comparable hospitals is $824. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Upmc Altoona range from $1,471 to $2,121 across 4 insurers. Aetna's rate is $2,121. The median at nearby comparable hospitals is $2,361. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Upmc Altoona range from $7,378 to $9,470 across 4 insurers. Cigna's rate is $8,753. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Upmc Altoona range from $181 to $299 across 4 insurers. Aetna's rate is $299. The median at nearby comparable hospitals is $214. What a patient pays depends on their plan's deductible, coinsurance and network status.
Upmc Altoona has 368 beds. Facility type: Short Term Acute Care Hospital.
Upmc Altoona is located at 620 Howard Avenue, Altoona, PA 16601. Its main phone number is (814) 889-2011.
Upmc Altoona's CMS Certification Number (CCN), also called its Medicare provider number, is 390073.
The National Provider Identifier (NPI) on file for Upmc Altoona is 1649278730.
Upmc Altoona is affiliated with UPMC.
Upmc Altoona lists 30 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
256 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers