healthcosts.net
Ankle X-ray at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$188.40
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.
$314.00
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.
$24.54 with United Healthcare Community Plan for Families vs $266.90 with Wellspan Population Health — 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 | $24.54 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $34.00 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $36.46 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $38.99 | ↓ -79% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $45.62 | ↓ -76% |
| Capital Blue Cross | Medicare Advantage | $62.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $62.80 | ↓ -67% |
| Premier Comp Solutions | Worker's Comp | $71.31 | ↓ -62% |
| UPMC Work Partners | Workers Comp | $73.35 | ↓ -61% |
| Prime Net | Managed Medicare | $75.99 | ↓ -60% |
| Aetna | Medicare | $78.81 | ↓ -58% |
| UPMC Health Plan | CHIP | $94.58 | ↓ -50% |
| Capital Blue Cross | CHIP | $103.39 | ↓ -45% |
| Capital Blue Cross | Commercial | $103.39 | ↓ -45% |
| Keystone Health Plan | Commercial | $103.39 | ↓ -45% |
| Highmark BCBS of PA | CHIP | $146.37 | ↓ -22% |
| Highmark BCBS of PA | Commercial | $146.37 | ↓ -22% |
| Aetna | ACO | $184.95 | ↓ -2% |
| Aetna | PEBTF ACO | $196.25 | ↑ +4% |
| InterGroup | PPO | $204.10 | ↑ +8% |
| Aetna | Commercial | $231.10 | ↑ +23% |
| Prime Net | FH-Medical Rental | $236.13 | ↑ +25% |
| Wellspan Population Health | Commercial | $266.90 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Ankle X-ray at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $436.20 | $26.02 – $581.60 |
| UPMC Passavant-McCandless | Pittsburgh | $419.40 | $26.25 – $594.15 |
| UPMC Hamot | Erie | $325.20 | $20.23 – $379.40 |
| UPMC Carlisle | Carlisle | $188.40 | $24.54 – $419.44 |
| UPMC Altoona | Altoona | $180.60 | $33.29 – $240.80 |
| UPMC Bedford | Everett | $108.00 | $26.38 – $162.00 |
| UPMC Cole | Coudersport | $140.40 | $33.86 – $187.20 |
| UPMC Hanover | Hanover | $188.40 | $24.54 – $419.44 |