3d recon without postprocess indpndt at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,242.60
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.
$2,071.00
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.
$11.92 with United Healthcare Community Plan for Families vs $978.15 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $11.92 | ↓ -99% |
| Capital Blue Cross | Medicare Advantage | $13.40 | ↓ -99% |
| Keystone Health Plan | Medicare Advantage | $13.40 | ↓ -99% |
| Prime Net | Managed Medicare | $16.21 | ↓ -99% |
| Aetna | Medicare | $16.82 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $36.85 | ↓ -97% |
| Aetna | ACO | $39.46 | ↓ -97% |
| Aetna | PEBTF ACO | $41.88 | ↓ -97% |
| InterGroup | PPO | $43.55 | ↓ -96% |
| Aetna | Commercial | $49.31 | ↓ -96% |
| Prime Net | FH-Medical Rental | $50.38 | ↓ -96% |
| Wellspan Population Health | Commercial | $56.95 | ↓ -95% |
| Premier Comp Solutions | Worker's Comp | $228.79 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $228.79 | ↓ -82% |
| Capital Blue Cross | Commercial | $331.27 | ↓ -73% |
| Capital Blue Cross | CHIP | $331.27 | ↓ -73% |
| Keystone Health Plan | Commercial | $331.27 | ↓ -73% |
| UPMC Health Plan | CHIP | $383.71 | ↓ -69% |
| Highmark BCBS of PA | Commercial | $978.15 | ↓ -21% |
| Highmark BCBS of PA | CHIP | $978.15 | ↓ -21% |
Visitor-reported prices
Comments
3d recon without postprocess indpndt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $493.80 | $218.62 – $658.40 |
| UPMC Bedford | Everett | $1,491.00 | $218.62 – $2,236.50 |
| UPMC Carlisle | Carlisle | $1,242.60 | $11.92 – $1,760.35 |
| UPMC Cole | Coudersport | $417.60 | $22.83 – $556.80 |
| UPMC East | Monroeville | $1,272.00 | $179.90 – $1,696.00 |
| UPMC Hamot | Erie | $879.00 | $52.31 – $222.48 |
| UPMC Hanover | Hanover | $1,242.60 | $11.92 – $383.71 |
| UPMC Horizon-Greenville | Greenville | $1,265.40 | $178.17 – $432.82 |