Brach/thor cath 2nd at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$2,881.20
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.
$4,802.00
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.
$154.57 with AmeriHealth Caritas vs $6,734.26 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $154.57 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $155.95 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $166.78 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $195.13 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $792.10 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $960.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $960.40 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -65% |
| Prime Net | Managed Medicare | $1,162.08 | ↓ -60% |
| Aetna | Medicare | $1,205.30 | ↓ -58% |
| Capital Blue Cross | Commercial | $2,654.07 | ↓ -8% |
| Capital Blue Cross | CHIP | $2,654.07 | ↓ -8% |
| Aetna | ACO | $2,684.00 | ↓ -7% |
| Keystone Health Plan | Commercial | $2,786.60 | ↓ -3% |
| Aetna | PEBTF ACO | $2,963.00 | ↑ +3% |
| InterGroup | PPO | $3,121.30 | ↑ +8% |
| Aetna | Commercial | $3,485.00 | ↑ +21% |
| Prime Net | FH-Medical Rental | $3,611.10 | ↑ +25% |
| Wellspan Population Health | Commercial | $4,081.70 | ↑ +42% |
| UPMC Health Plan | CHIP | $5,169.14 | ↑ +79% |
| Highmark BCBS of PA | Commercial | $6,734.26 | ↑ +134% |
| Highmark BCBS of PA | CHIP | $6,734.26 | ↑ +134% |
Visitor-reported prices
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Brach/thor cath 2nd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,556.20 | $114.50 – $4,741.60 |
| UPMC Carlisle | Carlisle | $2,881.20 | $145.41 – $9,539.00 |
| UPMC Hamot | Erie | $6,970.80 | $125.95 – $1,631.43 |
| UPMC Northwest | Seneca | $10,167.00 | $125.95 – $4,234.19 |
| UPMC Hanover | Hanover | $2,881.20 | $145.41 – $1,016.56 |
| UPMC Lititz | Lititz | $2,881.20 | $145.41 – $1,016.56 |
| UPMC Magee | Pittsburgh | $7,978.80 | $125.95 – $1,646.97 |
| UPMC McKeesport | Mckeesport | $6,741.00 | $125.95 – $1,646.97 |