Blood smear interpretation at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$85.80
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.
$143.00
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.
$8.46 with UPMC Health Plan vs $121.55 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 |
|---|---|---|---|
| UPMC Health Plan | CHIP | $8.46 | ↓ -90% |
| United Healthcare Community Plan for Families | PA Medicaid | $19.23 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $28.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $28.60 | ↓ -67% |
| Prime Net | Managed Medicare | $34.61 | ↓ -60% |
| Aetna | Medicare | $35.89 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $65.38 | ↓ -24% |
| Geisinger | Medicaid/CHIP | $78.65 | ↓ -8% |
| Aetna | ACO | $84.23 | ↓ -2% |
| Keystone Health Plan | Commercial | $88.12 | ↑ +3% |
| Capital Blue Cross | Commercial | $88.12 | ↑ +3% |
| Capital Blue Cross | CHIP | $88.12 | ↑ +3% |
| Aetna | PEBTF ACO | $89.38 | ↑ +4% |
| InterGroup | PPO | $92.95 | ↑ +8% |
| Aetna | Commercial | $105.25 | ↑ +23% |
| Prime Net | FH-Medical Rental | $107.54 | ↑ +25% |
| Wellspan Population Health | Commercial | $121.55 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Blood smear interpretation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $89.40 | $8.46 – $119.20 |
| UPMC Carlisle | Carlisle | $85.80 | $8.46 – $121.55 |
| UPMC Hamot | Erie | $227.40 | $4.22 – $64.73 |
| UPMC Northwest | Seneca | $92.40 | $2.35 – $62.47 |
| UPMC Hanover | Hanover | $85.80 | $8.46 – $65.68 |
| UPMC Horizon-Greenville | Greenville | $66.00 | $2.36 – $62.47 |
| UPMC Kane | Kane | $79.20 | $6.23 – $66.47 |
| UPMC Lititz | Lititz | $85.80 | $8.46 – $65.68 |