Bld prd mix 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.
$67.20 with Keystone Health Plan vs $285.60 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $67.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $67.20 | ↓ -67% |
| Prime Net | Managed Medicare | $81.31 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $125.66 | ↓ -38% |
| UPMC Health Plan | CHIP | $130.42 | ↓ -35% |
| 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% |
| Geisinger | Medicaid/CHIP | $184.80 | ↓ -8% |
| Capital Blue Cross | Commercial | $185.71 | ↓ -8% |
| Capital Blue Cross | CHIP | $185.71 | ↓ -8% |
| Highmark BCBS of PA | Commercial | $190.90 | ↓ -5% |
| Highmark BCBS of PA | CHIP | $190.90 | ↓ -5% |
| Keystone Health Plan | Commercial | $194.98 | ↓ -3% |
| Aetna | ACO | $197.90 | ↓ -2% |
| Aetna | PEBTF ACO | $210.00 | ↑ +4% |
| InterGroup | PPO | $218.40 | ↑ +8% |
| Aetna | Commercial | $247.30 | ↑ +23% |
| Prime Net | FH-Medical Rental | $252.67 | ↑ +25% |
| Wellspan Population Health | Commercial | $285.60 | ↑ +42% |
| 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
Comments
Bld prd mix at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $201.60 | $46.03 – $285.60 |
| UPMC East | Monroeville | $369.60 | $35.88 – $492.80 |
| UPMC Hanover | Hanover | $201.60 | $88.20 – $261.92 |
| UPMC Horizon-Greenville | Greenville | $109.20 | $36.33 – $176.44 |
| UPMC Jameson | New Castle | $109.20 | $2.44 – $176.44 |
| UPMC Lititz | Lititz | $201.60 | $88.20 – $263.33 |
| UPMC Magee | Pittsburgh | $187.20 | $37.97 – $179.71 |
| UPMC McKeesport | Mckeesport | $236.40 | $36.83 – $179.71 |