#acylcarnitineprfl at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$36.00
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.
$60.00
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.
$12.00 with Keystone Health Plan vs $179.01 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $12.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $12.00 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $13.48 | ↓ -63% |
| Prime Net | Managed Medicare | $14.52 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $16.70 | ↓ -54% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $16.95 | ↓ -53% |
| Humana | Medicare | $17.38 | ↓ -52% |
| UPMC Work Partners | Workers Comp | $17.44 | ↓ -52% |
| Aetna | Medicare | $17.60 | ↓ -51% |
| Cigna | Medicare | $17.71 | ↓ -51% |
| United Healthcare | Medicare | $18.05 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18.22 | ↓ -49% |
| Geisinger | Medicaid/CHIP | $33.00 | ↓ -8% |
| Aetna | ACO | $35.34 | ↓ -2% |
| Aetna | PEBTF ACO | $37.50 | ↑ +4% |
| InterGroup | PPO | $39.00 | ↑ +8% |
| Aetna | Commercial | $44.16 | ↑ +23% |
| Prime Net | FH-Medical Rental | $45.12 | ↑ +25% |
| Wellspan Population Health | Commercial | $51.00 | ↑ +42% |
| Capital Blue Cross | Commercial | $98.61 | ↑ +174% |
| Capital Blue Cross | CHIP | $98.61 | ↑ +174% |
| Keystone Health Plan | Commercial | $98.61 | ↑ +174% |
| UPMC Health Plan | CHIP | $137.76 | ↑ +283% |
| Highmark BCBS of PA | CHIP | $179.01 | ↑ +397% |
| Highmark BCBS of PA | Commercial | $179.01 | ↑ +397% |
Visitor-reported prices
Comments
#acylcarnitineprfl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $222.60 | $16.67 – $296.80 |
| UPMC Bedford | Everett | $316.80 | $6.09 – $475.20 |
| UPMC Carlisle | Carlisle | $36.00 | $8.22 – $51.00 |
| UPMC East | Monroeville | $180.60 | $16.67 – $240.80 |
| UPMC Hamot | Erie | $315.00 | $16.67 – $44.78 |
| UPMC Northwest | Seneca | $144.60 | $15.30 – $18.22 |
| UPMC Hanover | Hanover | $36.00 | $13.48 – $137.76 |
| UPMC Horizon-Greenville | Greenville | $440.40 | $15.10 – $31.66 |