Bundled special stain group 2 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$78.60
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.
?
What you pay up front if you don't use insurance.
$131.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$13.60 with Capital Blue Cross vs $221.95 with Keystone Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $13.60 | ↓ -83% |
| Keystone Health Plan | Medicare Advantage | $13.60 | ↓ -83% |
| Prime Net | Managed Medicare | $16.46 | ↓ -79% |
| UPMC Health Plan | CHIP | $23.46 | ↓ -70% |
| Highmark BCBS of PA | CHIP | $24.97 | ↓ -68% |
| Highmark BCBS of PA | Commercial | $24.97 | ↓ -68% |
| Aetna | ACO | $40.05 | ↓ -49% |
| UPMC Work Partners | Workers Comp | $40.63 | ↓ -48% |
| Aetna | PEBTF ACO | $42.50 | ↓ -46% |
| InterGroup | PPO | $44.20 | ↓ -44% |
| Aetna | Commercial | $50.05 | ↓ -36% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $51.01 | ↓ -35% |
| Prime Net | FH-Medical Rental | $51.14 | ↓ -35% |
| United Healthcare Community Plan for Families | PA Medicaid | $53.97 | ↓ -31% |
| Wellspan Population Health | Commercial | $57.80 | ↓ -26% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $69.48 | ↓ -12% |
| Geisinger | Medicaid/CHIP | $74.30 | ↓ -5% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $86.93 | ↑ +11% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $125.53 | ↑ +60% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $127.42 | ↑ +62% |
| Humana | Medicare | $130.60 | ↑ +66% |
| Aetna | Medicare | $132.25 | ↑ +68% |
| Cigna | Medicare | $133.14 | ↑ +69% |
| United Healthcare | Medicare | $135.68 | ↑ +73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $136.94 | ↑ +74% |
| Capital Blue Cross | CHIP | $221.95 | ↑ +182% |
| Capital Blue Cross | Commercial | $221.95 | ↑ +182% |
| Keystone Health Plan | Commercial | $221.95 | ↑ +182% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Bundled special stain group 2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $139.20 | $6.25 – $185.60 |
| UPMC Bedford | Everett | $49.80 | $6.54 – $86.93 |
| UPMC Carlisle | Carlisle | $78.60 | $17.95 – $197.30 |
| UPMC Cole | Coudersport | $180.60 | $23.46 – $240.80 |
| UPMC East | Monroeville | $48.00 | $6.31 – $129.03 |
| UPMC Hamot | Erie | $147.60 | $6.25 – $153.18 |
| UPMC Northwest | Seneca | $67.20 | $6.51 – $129.03 |
| UPMC Hanover | Hanover | $78.60 | $23.46 – $197.02 |