Bundled special stain group 1 microorganisms at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$116.40
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.
$194.00
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.
$29.51 with UPMC Health Plan vs $264.67 with Keystone Health Plan — 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 | $29.51 | ↓ -75% |
| Highmark BCBS of PA | Commercial | $31.73 | ↓ -73% |
| Highmark BCBS of PA | CHIP | $31.73 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $38.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $38.80 | ↓ -67% |
| Prime Net | Managed Medicare | $46.95 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $52.03 | ↓ -55% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $52.82 | ↓ -55% |
| Humana | Medicare | $54.14 | ↓ -53% |
| Aetna | Medicare | $54.82 | ↓ -53% |
| Cigna | Medicare | $55.19 | ↓ -53% |
| United Healthcare | Medicare | $56.24 | ↓ -52% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $56.76 | ↓ -51% |
| United Healthcare Community Plan for Families | PA Medicaid | $67.90 | ↓ -42% |
| UPMC Work Partners | Workers Comp | $72.82 | ↓ -37% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $73.67 | ↓ -37% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $100.34 | ↓ -14% |
| Geisinger | Medicaid/CHIP | $107.31 | ↓ -8% |
| Aetna | ACO | $114.27 | ↓ -2% |
| Aetna | PEBTF ACO | $121.25 | ↑ +4% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $125.55 | ↑ +8% |
| InterGroup | PPO | $126.10 | ↑ +8% |
| Aetna | Commercial | $142.78 | ↑ +23% |
| Prime Net | FH-Medical Rental | $145.89 | ↑ +25% |
| Wellspan Population Health | Commercial | $164.90 | ↑ +42% |
| Capital Blue Cross | Commercial | $264.67 | ↑ +127% |
| Capital Blue Cross | CHIP | $264.67 | ↑ +127% |
| Keystone Health Plan | Commercial | $264.67 | ↑ +127% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Bundled special stain group 1 microorganisms at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $174.60 | $7.94 – $232.80 |
| UPMC Bedford | Everett | $49.80 | $8.23 – $102.39 |
| UPMC Carlisle | Carlisle | $116.40 | $26.58 – $164.90 |
| UPMC Cole | Coudersport | $220.80 | $29.51 – $294.40 |
| UPMC East | Monroeville | $61.20 | $8.01 – $102.39 |
| UPMC Hamot | Erie | $207.00 | $7.94 – $102.39 |
| UPMC Northwest | Seneca | $67.20 | $8.19 – $84.72 |
| UPMC Hanover | Hanover | $116.40 | $29.51 – $100.34 |