Brain image 4+ views at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,574.40
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.
$2,624.00
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.
$70.74 with United Healthcare Community Plan for Families vs $2,230.40 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 | $70.74 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $99.85 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $107.08 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $114.52 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $133.98 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $426.48 | ↓ -73% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $524.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $524.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $524.80 | ↓ -67% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $532.08 | ↓ -66% |
| Humana | Medicare | $545.37 | ↓ -65% |
| Aetna | Medicare | $552.26 | ↓ -65% |
| Cigna | Medicare | $555.96 | ↓ -65% |
| United Healthcare | Medicare | $566.55 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $571.85 | ↓ -64% |
| UPMC Health Plan | CHIP | $583.24 | ↓ -63% |
| Prime Net | Managed Medicare | $635.01 | ↓ -60% |
| Keystone Health Plan | Commercial | $776.26 | ↓ -51% |
| Capital Blue Cross | Commercial | $776.26 | ↓ -51% |
| Capital Blue Cross | CHIP | $776.26 | ↓ -51% |
| Highmark BCBS of PA | Commercial | $823.61 | ↓ -48% |
| Highmark BCBS of PA | CHIP | $823.61 | ↓ -48% |
| Aetna | ACO | $1,545.54 | ↓ -2% |
| Aetna | PEBTF ACO | $1,640.00 | ↑ +4% |
| InterGroup | PPO | $1,705.60 | ↑ +8% |
| Aetna | Commercial | $1,931.26 | ↑ +23% |
| Prime Net | FH-Medical Rental | $1,973.25 | ↑ +25% |
| Wellspan Population Health | Commercial | $2,230.40 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Brain image 4+ views at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,574.40 | $70.74 – $2,230.40 |
| UPMC Hanover | Hanover | $1,574.40 | $70.74 – $822.74 |
| UPMC Lititz | Lititz | $1,574.40 | $70.74 – $827.18 |
| UPMC Memorial | York | $1,574.40 | $70.74 – $988.11 |
| UPMC Muncy | Muncy | $1,015.80 | $69.12 – $446.20 |
| UPMC Somerset | Somerset | $1,574.40 | $62.10 – $513.18 |
| UPMC Wellsboro | Wellsboro | $1,228.00 | $69.12 – $415.61 |