Av fusion direct any site at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$5,832.00
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.
$9,720.00
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.
$140.40 with Capital Blue Cross vs $11,127.90 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $140.40 | ↓ -98% |
| Keystone Health Plan | Medicare Advantage | $140.40 | ↓ -98% |
| Prime Net | Managed Medicare | $169.88 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $386.10 | ↓ -93% |
| InterGroup | PPO | $456.30 | ↓ -92% |
| Prime Net | FH-Medical Rental | $527.90 | ↓ -91% |
| Wellspan Population Health | Commercial | $596.70 | ↓ -90% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $2,176.98 | ↓ -63% |
| UPMC Health Plan | CHIP | $2,636.09 | ↓ -55% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,065.17 | ↓ -47% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $3,111.30 | ↓ -47% |
| Humana | Medicare | $3,189.01 | ↓ -45% |
| Aetna | Medicare | $3,229.26 | ↓ -45% |
| Cigna | Medicare | $3,250.94 | ↓ -44% |
| United Healthcare | Medicare | $3,312.86 | ↓ -43% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,343.82 | ↓ -43% |
| Highmark BCBS of PA | Commercial | $3,454.83 | ↓ -41% |
| Highmark BCBS of PA | CHIP | $3,454.83 | ↓ -41% |
| Aetna | ACO | $3,737.00 | ↓ -36% |
| Aetna | PEBTF ACO | $4,126.00 | ↓ -29% |
| Aetna | Commercial | $4,854.00 | ↓ -17% |
| Capital Blue Cross | CHIP | $11,127.90 | ↑ +91% |
| Capital Blue Cross | Commercial | $11,127.90 | ↑ +91% |
| Keystone Health Plan | Commercial | $11,127.90 | ↑ +91% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
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Av fusion direct any site at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Somerset | Somerset | $5,832.00 | $609.92 – $3,000.76 |
| Uniontown Hospital | Uniontown | $3,436.00 | $205.80 – $6,356.47 |
| UPMC Altoona | Altoona | not published | $836.96 – $3,240.82 |
| UPMC East | Monroeville | not published | $844.93 – $3,300.84 |
| UPMC Hamot | Erie | not published | $836.96 – $4,364.40 |
| UPMC Northwest | Seneca | not published | $1,245.27 – $3,240.82 |
| UPMC Hanover | Hanover | not published | $1,016.56 – $4,810.90 |
| UPMC Mercy | Pittsburgh | not published | $681.00 – $3,300.84 |