Autologous blood process at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$201.60
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.
$336.00
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.
$43.40 with Capital Blue Cross vs $352.00 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 | $43.40 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $43.40 | ↓ -78% |
| Prime Net | Managed Medicare | $52.51 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $119.35 | ↓ -41% |
| Capital Blue Cross | Commercial | $119.94 | ↓ -41% |
| Capital Blue Cross | CHIP | $119.94 | ↓ -41% |
| United Healthcare Community Plan for Families | PA Medicaid | $125.66 | ↓ -38% |
| Keystone Health Plan | Commercial | $125.93 | ↓ -38% |
| Aetna | ACO | $127.81 | ↓ -37% |
| Aetna | PEBTF ACO | $135.62 | ↓ -33% |
| InterGroup | PPO | $141.05 | ↓ -30% |
| Aetna | Commercial | $159.71 | ↓ -21% |
| Prime Net | FH-Medical Rental | $163.18 | ↓ -19% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $166.87 | ↓ -17% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $169.39 | ↓ -16% |
| Humana | Medicare | $173.62 | ↓ -14% |
| Aetna | Medicare | $175.81 | ↓ -13% |
| Cigna | Medicare | $176.99 | ↓ -12% |
| United Healthcare | Medicare | $180.36 | ↓ -11% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $182.04 | ↓ -10% |
| Wellspan Population Health | Commercial | $184.45 | ↓ -9% |
| UPMC Health Plan | CHIP | $265.05 | ↑ +31% |
| Highmark BCBS of PA | Commercial | $352.00 | ↑ +75% |
| Highmark BCBS of PA | CHIP | $352.00 | ↑ +75% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Autologous blood process at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $201.60 | $46.03 – $285.60 |
| UPMC East | Monroeville | $680.40 | $72.91 – $907.20 |
| UPMC Hanover | Hanover | $201.60 | $125.66 – $265.05 |
| UPMC Horizon-Greenville | Greenville | $253.80 | $73.83 – $176.44 |
| UPMC Jameson | New Castle | $253.80 | $7.44 – $176.44 |
| UPMC Lititz | Lititz | $201.60 | $125.66 – $265.05 |
| UPMC Magee | Pittsburgh | $301.20 | $77.15 – $179.71 |
| UPMC McKeesport | Mckeesport | $325.20 | $74.84 – $179.71 |