Bone marrow interpretation at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$3,124.80
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.
$5,208.00
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.
$6.16 with UPMC Health Plan vs $867.86 with PA Health & Wellness — 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 | $6.16 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $19.20 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $25.15 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $26.15 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $27.97 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $32.72 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $118.24 | ↓ -96% |
| Capital Blue Cross | Medicare Advantage | $128.40 | ↓ -96% |
| Keystone Health Plan | Medicare Advantage | $128.40 | ↓ -96% |
| Prime Net | Managed Medicare | $155.36 | ↓ -95% |
| Capital Blue Cross | Commercial | $183.36 | ↓ -94% |
| Capital Blue Cross | CHIP | $183.36 | ↓ -94% |
| Keystone Health Plan | Commercial | $183.36 | ↓ -94% |
| Aetna | ACO | $378.14 | ↓ -88% |
| Aetna | PEBTF ACO | $401.25 | ↓ -87% |
| InterGroup | PPO | $417.30 | ↓ -87% |
| Aetna | Commercial | $472.51 | ↓ -85% |
| Prime Net | FH-Medical Rental | $482.78 | ↓ -85% |
| Wellspan Population Health | Commercial | $545.70 | ↓ -83% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $795.53 | ↓ -75% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $807.51 | ↓ -74% |
| Humana | Medicare | $827.68 | ↓ -74% |
| Aetna | Medicare | $838.12 | ↓ -73% |
| Cigna | Medicare | $843.75 | ↓ -73% |
| United Healthcare | Medicare | $859.82 | ↓ -72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $867.86 | ↓ -72% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Bone marrow interpretation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $239.40 | $6.16 – $319.20 |
| UPMC Bedford | Everett | $140.40 | $1.72 – $778.82 |
| UPMC Carlisle | Carlisle | $3,124.80 | $6.16 – $4,426.80 |
| UPMC East | Monroeville | $175.20 | $1.69 – $817.76 |
| UPMC Hamot | Erie | $315.00 | $3.08 – $970.76 |
| UPMC Northwest | Seneca | $250.80 | $1.71 – $817.76 |
| UPMC Hanover | Hanover | $3,124.80 | $6.16 – $1,248.61 |
| UPMC Horizon-Greenville | Greenville | $456.60 | $1.72 – $1,461.46 |