Bone marrow biopsyneedle/trocar 38221 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$2,080.80
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.
$3,468.00
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.
$91.46 with United Healthcare Community Plan for Families vs $2,947.80 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $91.46 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $94.26 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $95.09 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $101.70 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $118.99 | ↓ -94% |
| UPMC Health Plan | CHIP | $423.36 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $434.05 | ↓ -79% |
| Keystone Health Plan | Medicare Advantage | $693.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $693.60 | ↓ -67% |
| Prime Net | Managed Medicare | $839.26 | ↓ -60% |
| Highmark BCBS of PA | CHIP | $1,461.51 | ↓ -30% |
| Highmark BCBS of PA | Commercial | $1,461.51 | ↓ -30% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,577.86 | ↓ -24% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,601.61 | ↓ -23% |
| Aetna | ACO | $1,633.00 | ↓ -22% |
| Humana | Medicare | $1,641.61 | ↓ -21% |
| Aetna | Medicare | $1,662.33 | ↓ -20% |
| Cigna | Medicare | $1,673.49 | ↓ -20% |
| United Healthcare | Medicare | $1,705.37 | ↓ -18% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,721.30 | ↓ -17% |
| Aetna | PEBTF ACO | $1,802.00 | ↓ -13% |
| Aetna | Commercial | $2,120.00 | ↑ +2% |
| InterGroup | PPO | $2,254.20 | ↑ +8% |
| Prime Net | FH-Medical Rental | $2,607.94 | ↑ +25% |
| Capital Blue Cross | Commercial | $2,656.50 | ↑ +28% |
| Capital Blue Cross | CHIP | $2,656.50 | ↑ +28% |
| Keystone Health Plan | Commercial | $2,656.50 | ↑ +28% |
| Wellspan Population Health | Commercial | $2,947.80 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Bone marrow biopsyneedle/trocar 38221 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $969.00 | $69.82 – $1,292.00 |
| UPMC Carlisle | Carlisle | $2,080.80 | $88.67 – $2,947.80 |
| UPMC Cole | Coudersport | $207.00 | $42.41 – $771.51 |
| UPMC East | Monroeville | $1,484.40 | $76.80 – $1,979.20 |
| UPMC Hamot | Erie | $2,017.80 | $76.80 – $2,246.66 |
| UPMC Northwest | Seneca | $1,237.20 | $76.80 – $1,621.93 |
| UPMC Hanover | Hanover | $2,080.80 | $88.67 – $2,476.51 |
| UPMC Horizon-Greenville | Greenville | $924.60 | $76.80 – $1,668.28 |