Application finger splntstatic 29130 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$226.20
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.
$377.00
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.
$75.40 with Keystone Health Plan vs $1,471.05 with Keystone 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $75.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $75.40 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $85.63 | ↓ -62% |
| Prime Net | Managed Medicare | $91.23 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $92.79 | ↓ -59% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $125.53 | ↓ -45% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $127.42 | ↓ -44% |
| Humana | Medicare | $130.60 | ↓ -42% |
| Aetna | Medicare | $132.25 | ↓ -42% |
| Cigna | Medicare | $133.14 | ↓ -41% |
| United Healthcare | Medicare | $135.68 | ↓ -40% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $136.94 | ↓ -39% |
| UPMC Health Plan | CHIP | $165.98 | ↓ -27% |
| Aetna | ACO | $185.11 | ↓ -18% |
| Aetna | PEBTF ACO | $196.42 | ↓ -13% |
| Geisinger | Medicaid/CHIP | $207.35 | ↓ -8% |
| Highmark BCBS of PA | Commercial | $230.18 | ↑ +2% |
| Highmark BCBS of PA | CHIP | $230.18 | ↑ +2% |
| Aetna | Commercial | $231.10 | ↑ +2% |
| InterGroup | PPO | $245.05 | ↑ +8% |
| Prime Net | FH-Medical Rental | $283.50 | ↑ +25% |
| Wellspan Population Health | Commercial | $320.45 | ↑ +42% |
| Capital Blue Cross | Commercial | $1,471.05 | ↑ +550% |
| Capital Blue Cross | CHIP | $1,471.05 | ↑ +550% |
| Keystone Health Plan | Commercial | $1,471.05 | ↑ +550% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Application finger splntstatic 29130 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $103.20 | $55.76 – $137.60 |
| UPMC Bedford | Everett | $124.20 | $44.34 – $186.30 |
| UPMC Carlisle | Carlisle | $226.20 | $51.65 – $320.45 |
| UPMC Cole | Coudersport | $126.00 | $9.42 – $98.03 |
| UPMC East | Monroeville | $235.20 | $56.30 – $313.60 |
| UPMC Hamot | Erie | $231.60 | $55.76 – $178.73 |
| UPMC Northwest | Seneca | $159.60 | $78.41 – $132.72 |
| UPMC Hanover | Hanover | $226.20 | $85.63 – $197.02 |