An fluoro guide for cvp at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$450.00
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.
$750.00
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.
$53.80 with Capital Blue Cross vs $472.53 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $53.80 | ↓ -88% |
| Keystone Health Plan | Medicare Advantage | $53.80 | ↓ -88% |
| United Healthcare Community Plan for Families | PA Medicaid | $60.60 | ↓ -87% |
| Prime Net | Managed Medicare | $65.10 | ↓ -86% |
| Aetna | Medicare | $67.52 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $76.67 | ↓ -83% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $82.22 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $87.93 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $102.88 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $125.85 | ↓ -72% |
| Premier Comp Solutions | Worker's Comp | $125.85 | ↓ -72% |
| Aetna | ACO | $158.44 | ↓ -65% |
| Aetna | PEBTF ACO | $168.12 | ↓ -63% |
| InterGroup | PPO | $174.85 | ↓ -61% |
| Aetna | Commercial | $197.98 | ↓ -56% |
| Prime Net | FH-Medical Rental | $202.29 | ↓ -55% |
| Wellspan Population Health | Commercial | $228.65 | ↓ -49% |
| UPMC Health Plan | CHIP | $296.74 | ↓ -34% |
| Capital Blue Cross | Commercial | $405.54 | ↓ -10% |
| Keystone Health Plan | Commercial | $405.54 | ↓ -10% |
| Capital Blue Cross | CHIP | $405.54 | ↓ -10% |
| Highmark BCBS of PA | CHIP | $472.53 | ↑ +5% |
| Highmark BCBS of PA | Commercial | $472.53 | ↑ +5% |
Visitor-reported prices
Comments
An fluoro guide for cvp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $318.60 | $46.26 – $424.80 |
| UPMC Bedford | Everett | $684.60 | $63.39 – $1,026.90 |
| UPMC Carlisle | Carlisle | $450.00 | $60.60 – $637.50 |
| UPMC Cole | Coudersport | $249.60 | $19.68 – $120.25 |
| UPMC East | Monroeville | $615.00 | $66.41 – $820.00 |
| UPMC Hamot | Erie | $591.60 | $66.41 – $203.00 |
| UPMC Northwest | Seneca | $429.60 | $66.41 – $278.94 |
| UPMC Hanover | Hanover | $450.00 | $60.60 – $125.85 |