Bone/joint imaging ltd area at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,228.80
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.
?
What you pay up front if you don't use insurance.
$2,048.00
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.
$54.37 with United Healthcare Community Plan for Families vs $1,740.80 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 | $54.37 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $87.63 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $93.98 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $100.51 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $117.59 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $318.74 | ↓ -74% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $391.32 | ↓ -68% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $397.21 | ↓ -68% |
| Humana | Medicare | $407.13 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $409.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $409.60 | ↓ -67% |
| Aetna | Medicare | $412.27 | ↓ -66% |
| Cigna | Medicare | $415.03 | ↓ -66% |
| United Healthcare | Medicare | $422.94 | ↓ -66% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $426.89 | ↓ -65% |
| UPMC Health Plan | CHIP | $465.64 | ↓ -62% |
| Prime Net | Managed Medicare | $495.62 | ↓ -60% |
| Highmark BCBS of PA | CHIP | $638.51 | ↓ -48% |
| Highmark BCBS of PA | Commercial | $638.51 | ↓ -48% |
| Capital Blue Cross | Commercial | $643.18 | ↓ -48% |
| Keystone Health Plan | Commercial | $643.18 | ↓ -48% |
| Capital Blue Cross | CHIP | $643.18 | ↓ -48% |
| Aetna | ACO | $1,206.27 | ↓ -2% |
| Aetna | PEBTF ACO | $1,280.00 | ↑ +4% |
| InterGroup | PPO | $1,331.20 | ↑ +8% |
| Aetna | Commercial | $1,507.33 | ↑ +23% |
| Prime Net | FH-Medical Rental | $1,540.10 | ↑ +25% |
| Wellspan Population Health | Commercial | $1,740.80 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Bone/joint imaging ltd area at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,228.80 | $54.37 – $1,740.80 |
| UPMC Cole | Coudersport | $595.80 | $72.45 – $794.40 |
| UPMC East | Monroeville | $1,335.60 | $75.90 – $1,780.80 |
| UPMC Hamot | Erie | $573.60 | $75.90 – $546.54 |
| UPMC Northwest | Seneca | $508.80 | $75.90 – $402.25 |
| UPMC Hanover | Hanover | $1,228.80 | $54.37 – $614.19 |
| UPMC Horizon-Greenville | Greenville | $1,295.40 | $75.90 – $413.75 |
| UPMC Jameson | New Castle | $632.40 | $47.73 – $478.88 |