Bx breast pq tomo guide at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$7,249.80
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.
$12,083.00
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.
$47.21 with UPMC Health Plan vs $10,270.55 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 |
|---|---|---|---|
| UPMC Health Plan | CHIP | $47.21 | ↓ -99% |
| Highmark BCBS of PA | Commercial | $76.73 | ↓ -99% |
| Highmark BCBS of PA | CHIP | $76.73 | ↓ -99% |
| Aetna | ACO | $1,633.00 | ↓ -77% |
| Aetna | PEBTF ACO | $1,802.00 | ↓ -75% |
| Aetna | Commercial | $2,120.00 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $2,416.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $2,416.60 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $2,747.15 | ↓ -62% |
| Prime Net | Managed Medicare | $2,924.09 | ↓ -60% |
| Aetna | Medicare | $3,032.83 | ↓ -58% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,729.12 | ↓ -49% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $3,785.25 | ↓ -48% |
| Humana | Medicare | $3,879.79 | ↓ -46% |
| Cigna | Medicare | $3,955.13 | ↓ -45% |
| United Healthcare | Medicare | $4,030.47 | ↓ -44% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4,068.13 | ↓ -44% |
| Capital Blue Cross | Commercial | $5,805.45 | ↓ -20% |
| Keystone Health Plan | Commercial | $5,805.45 | ↓ -20% |
| Capital Blue Cross | CHIP | $5,805.45 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $6,645.65 | ↓ -8% |
| InterGroup | PPO | $7,853.95 | ↑ +8% |
| Prime Net | FH-Medical Rental | $9,086.42 | ↑ +25% |
| Wellspan Population Health | Commercial | $10,270.55 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Bx breast pq tomo guide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $7,249.80 | $47.21 – $10,270.55 |
| UPMC Hanover | Hanover | $7,249.80 | $47.21 – $5,852.98 |
| UPMC Lititz | Lititz | $7,249.80 | $47.21 – $5,884.59 |
| UPMC Memorial | York | $7,249.80 | $15.15 – $5,875.04 |
| UPMC Somerset | Somerset | $7,249.80 | $18.40 – $3,942.46 |
| WellSpan Ephrata Community Hospital | Ephrata | $2,424.80 | $2,871.96 – $2,871.96 |
| WellSpan Evangelical Community Hospital | Lewisburg | $9,758.40 | $86.34 – $86.34 |
| WellSpan Good Samaritan Hospital | Lebanon | $2,471.20 | $157.32 – $6,066.00 |