Biliary endoscopy thru skin at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$18,827.40
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.
?
What you pay up front if you don't use insurance.
$31,379.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$294.75 with United Healthcare Community Plan for Families vs $26,672.15 with Wellspan Population Health — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $294.75 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $303.75 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $306.45 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $327.74 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $383.44 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $1,044.86 | ↓ -94% |
| UPMC Health Plan | CHIP | $1,757.00 | ↓ -91% |
| Aetna | ACO | $3,737.00 | ↓ -80% |
| Aetna | PEBTF ACO | $4,126.00 | ↓ -78% |
| Aetna | Commercial | $4,854.00 | ↓ -74% |
| Keystone Health Plan | Medicare Advantage | $6,275.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $6,275.80 | ↓ -67% |
| Capital Blue Cross | Commercial | $7,348.95 | ↓ -61% |
| Capital Blue Cross | CHIP | $7,348.95 | ↓ -61% |
| Keystone Health Plan | Commercial | $7,348.95 | ↓ -61% |
| Prime Net | Managed Medicare | $7,593.72 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $10,138.90 | ↓ -46% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $10,291.49 | ↓ -45% |
| Humana | Medicare | $10,548.55 | ↓ -44% |
| Aetna | Medicare | $10,681.69 | ↓ -43% |
| Cigna | Medicare | $10,753.38 | ↓ -43% |
| United Healthcare | Medicare | $10,958.20 | ↓ -42% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11,060.61 | ↓ -41% |
| Highmark BCBS of PA | Commercial | $14,737.40 | ↓ -22% |
| Highmark BCBS of PA | CHIP | $14,737.40 | ↓ -22% |
| InterGroup | PPO | $20,396.35 | ↑ +8% |
| Prime Net | FH-Medical Rental | $23,597.01 | ↑ +25% |
| Wellspan Population Health | Commercial | $26,672.15 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $18,827.40 | $285.75 – $26,672.15 |
| UPMC Hamot | Erie | $5,424.00 | $247.50 – $12,372.12 |
| UPMC Hanover | Hanover | $18,827.40 | $285.75 – $15,913.34 |
| UPMC Lititz | Lititz | $18,827.40 | $285.75 – $15,999.30 |
| UPMC Magee | Pittsburgh | $12,186.60 | $247.50 – $10,719.92 |
| UPMC Memorial | York | $18,827.40 | $285.75 – $15,973.31 |
| UPMC Somerset | Somerset | $18,827.40 | $247.50 – $9,925.85 |
| UPMC Williamsport | Williamsport | $1,036.20 | $247.50 – $10,620.66 |