Artery x-rays arms/legs 75716-26 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$5,906.40
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.
$9,844.00
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.
$29.48 with United Healthcare Community Plan for Families vs $8,367.40 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 | $29.48 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.62 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $51.08 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $54.62 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $63.91 | ↓ -99% |
| Capital Blue Cross | CHIP | $1,223.34 | ↓ -79% |
| Capital Blue Cross | Commercial | $1,223.34 | ↓ -79% |
| Keystone Health Plan | Commercial | $1,223.34 | ↓ -79% |
| Premier Comp Solutions | Worker's Comp | $1,274.94 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $1,294.62 | ↓ -78% |
| UPMC Health Plan | CHIP | $1,953.45 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,968.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,968.80 | ↓ -67% |
| Prime Net | Managed Medicare | $2,382.25 | ↓ -60% |
| Highmark BCBS of PA | CHIP | $2,705.80 | ↓ -54% |
| Highmark BCBS of PA | Commercial | $2,705.80 | ↓ -54% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,065.17 | ↓ -48% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $3,111.30 | ↓ -47% |
| Humana | Medicare | $3,189.01 | ↓ -46% |
| Aetna | Medicare | $3,229.26 | ↓ -45% |
| Cigna | Medicare | $3,250.94 | ↓ -45% |
| United Healthcare | Medicare | $3,312.86 | ↓ -44% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,343.82 | ↓ -43% |
| Aetna | ACO | $5,798.12 | ↓ -2% |
| Aetna | PEBTF ACO | $6,152.50 | ↑ +4% |
| InterGroup | PPO | $6,398.60 | ↑ +8% |
| Aetna | Commercial | $7,245.18 | ↑ +23% |
| Prime Net | FH-Medical Rental | $7,402.69 | ↑ +25% |
| Wellspan Population Health | Commercial | $8,367.40 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Artery x-rays arms/legs 75716-26 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,782.20 | $22.50 – $3,709.60 |
| UPMC Carlisle | Carlisle | $5,906.40 | $29.48 – $8,367.40 |
| UPMC East | Monroeville | $5,658.60 | $41.25 – $7,544.80 |
| UPMC Hamot | Erie | $2,766.60 | $41.25 – $4,114.32 |
| UPMC Northwest | Seneca | $2,833.20 | $41.25 – $3,150.80 |
| UPMC Hanover | Hanover | $5,906.40 | $29.48 – $4,810.90 |
| UPMC Jameson | New Castle | $2,478.00 | $25.88 – $3,750.95 |
| UPMC Lititz | Lititz | $5,906.40 | $29.48 – $4,836.88 |