Alpha-fetoprotein afp-l3 frac & total at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$326.40
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.
$544.00
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.
$63.77 with Highmark BCBS of PA vs $792.68 with UPMC Health Plan — 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/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $63.77 | ↓ -80% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $64.73 | ↓ -80% |
| Humana | Medicare | $66.34 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $66.62 | ↓ -80% |
| Aetna | Medicare | $67.18 | ↓ -79% |
| Cigna | Medicare | $67.63 | ↓ -79% |
| United Healthcare | Medicare | $68.92 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $69.56 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $70.82 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $92.77 | ↓ -72% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $96.46 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $103.16 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $108.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $108.80 | ↓ -67% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $120.69 | ↓ -63% |
| Prime Net | Managed Medicare | $131.65 | ↓ -60% |
| Aetna | ACO | $320.42 | ↓ -2% |
| Aetna | PEBTF ACO | $340.00 | ↑ +4% |
| InterGroup | PPO | $353.60 | ↑ +8% |
| Keystone Health Plan | Commercial | $376.49 | ↑ +15% |
| Capital Blue Cross | Commercial | $376.49 | ↑ +15% |
| Capital Blue Cross | CHIP | $376.49 | ↑ +15% |
| Aetna | Commercial | $400.38 | ↑ +23% |
| Prime Net | FH-Medical Rental | $409.09 | ↑ +25% |
| Wellspan Population Health | Commercial | $462.40 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $668.71 | ↑ +105% |
| Highmark BCBS of PA | CHIP | $668.71 | ↑ +105% |
| UPMC Health Plan | CHIP | $792.68 | ↑ +143% |
Visitor-reported prices
Comments
Alpha-fetoprotein afp-l3 frac & total at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,284.00 | $63.66 – $1,712.00 |
| UPMC Bedford | Everett | $1,509.60 | $23.24 – $2,264.40 |
| UPMC Carlisle | Carlisle | $326.40 | $24.85 – $462.40 |
| UPMC East | Monroeville | $1,293.00 | $63.66 – $1,724.00 |
| UPMC Hamot | Erie | $903.60 | $63.66 – $167.27 |
| UPMC Northwest | Seneca | $570.00 | $58.41 – $81.44 |
| UPMC Hanover | Hanover | $326.40 | $24.85 – $103.06 |
| UPMC Horizon-Greenville | Greenville | $1,424.40 | $57.67 – $120.87 |