Artery x-rays lung at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$3,476.40
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.
$5,794.00
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.
$19.65 with United Healthcare Community Plan for Families vs $4,924.90 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 | $19.65 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $31.75 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $34.05 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $36.41 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $42.60 | ↓ -99% |
| Capital Blue Cross | CHIP | $1,069.11 | ↓ -69% |
| Capital Blue Cross | Commercial | $1,069.11 | ↓ -69% |
| Keystone Health Plan | Commercial | $1,069.11 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $1,158.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,158.80 | ↓ -67% |
| Premier Comp Solutions | Worker's Comp | $1,252.10 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $1,271.52 | ↓ -63% |
| Prime Net | Managed Medicare | $1,402.15 | ↓ -60% |
| UPMC Health Plan | CHIP | $1,903.16 | ↓ -45% |
| Highmark BCBS of PA | CHIP | $2,658.56 | ↓ -24% |
| Highmark BCBS of PA | Commercial | $2,658.56 | ↓ -24% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,065.17 | ↓ -12% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $3,111.30 | ↓ -11% |
| Humana | Medicare | $3,189.01 | ↓ -8% |
| Aetna | Medicare | $3,229.26 | ↓ -7% |
| Cigna | Medicare | $3,250.94 | ↓ -6% |
| United Healthcare | Medicare | $3,312.86 | ↓ -5% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,343.82 | ↓ -4% |
| Aetna | ACO | $3,412.67 | ↓ -2% |
| Aetna | PEBTF ACO | $3,621.25 | ↑ +4% |
| InterGroup | PPO | $3,766.10 | ↑ +8% |
| Aetna | Commercial | $4,264.38 | ↑ +23% |
| Prime Net | FH-Medical Rental | $4,357.09 | ↑ +25% |
| Wellspan Population Health | Commercial | $4,924.90 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Artery x-rays lung at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,476.40 | $19.65 – $4,924.90 |
| UPMC Hanover | Hanover | $3,476.40 | $19.65 – $4,810.90 |
| UPMC Lititz | Lititz | $3,476.40 | $19.65 – $4,836.88 |
| UPMC Magee | Pittsburgh | $2,959.80 | $27.50 – $3,240.82 |
| UPMC Memorial | York | $3,476.40 | $19.65 – $4,829.02 |
| UPMC Mercy | Pittsburgh | $2,564.40 | $27.50 – $3,300.84 |
| UPMC Passavant-McCandless | Pittsburgh | $2,919.00 | $27.50 – $3,300.84 |
| UPMC Presbyterian | Pittsburgh | $3,324.60 | $18.00 – $3,300.84 |