Bx/curett of cervix w/scope 57454 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$615.60
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.
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What you pay up front if you don't use insurance.
$1,026.00
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.
$134.54 with AmeriHealth Caritas vs $3,485.00 with Aetna — 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 | $134.54 | ↓ -78% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $144.29 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $154.31 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $180.54 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $205.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $205.20 | ↓ -67% |
| Prime Net | Managed Medicare | $248.29 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $260.53 | ↓ -58% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $296.24 | ↓ -52% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $300.70 | ↓ -51% |
| Humana | Medicare | $308.21 | ↓ -50% |
| Aetna | Medicare | $312.10 | ↓ -49% |
| Cigna | Medicare | $314.19 | ↓ -49% |
| United Healthcare | Medicare | $320.18 | ↓ -48% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $323.17 | ↓ -48% |
| UPMC Health Plan | CHIP | $417.65 | ↓ -32% |
| Highmark BCBS of PA | CHIP | $537.10 | ↓ -13% |
| Highmark BCBS of PA | Commercial | $537.10 | ↓ -13% |
| InterGroup | PPO | $666.90 | ↑ +8% |
| Prime Net | FH-Medical Rental | $771.55 | ↑ +25% |
| Wellspan Population Health | Commercial | $872.10 | ↑ +42% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↑ +65% |
| Capital Blue Cross | Commercial | $2,656.50 | ↑ +332% |
| Keystone Health Plan | Commercial | $2,656.50 | ↑ +332% |
| Capital Blue Cross | CHIP | $2,656.50 | ↑ +332% |
| Aetna | ACO | $2,684.00 | ↑ +336% |
| Aetna | PEBTF ACO | $2,963.00 | ↑ +381% |
| Aetna | Commercial | $3,485.00 | ↑ +466% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Bx/curett of cervix w/scope 57454 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $192.00 | $105.94 – $256.00 |
| UPMC Hanover | Hanover | $615.60 | $134.54 – $1,016.56 |
| UPMC Kane | Kane | $501.00 | $116.53 – $714.56 |
| UPMC Magee | Pittsburgh | $576.00 | $116.53 – $313.21 |
| UPMC Memorial | York | $615.60 | $106.05 – $1,016.56 |
| UPMC Presbyterian | Pittsburgh | $785.40 | $116.53 – $931.20 |
| UPMC Somerset | Somerset | $615.60 | $116.53 – $892.40 |
| UPMC Wellsboro | Wellsboro | $1,015.20 | $116.53 – $993.28 |