Bx/exc lymph node/open/superfic 38500 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$666.60
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.
$1,111.00
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.
$453.13 with UPMC Work Partners vs $7,348.95 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $453.13 | ↓ -32% |
| United Healthcare Community Plan for Families | PA Medicaid | $859.36 | ↑ +29% |
| InterGroup | PPO | $944.35 | ↑ +42% |
| UPMC Health Plan | CHIP | $2,314.82 | ↑ +247% |
| Aetna | ACO | $2,684.00 | ↑ +303% |
| Aetna | PEBTF ACO | $2,963.00 | ↑ +344% |
| Highmark BCBS of PA | CHIP | $3,012.49 | ↑ +352% |
| Highmark BCBS of PA | Commercial | $3,012.49 | ↑ +352% |
| Aetna | Commercial | $3,485.00 | ↑ +423% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,729.12 | ↑ +459% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $3,785.25 | ↑ +468% |
| Humana | Medicare | $3,879.79 | ↑ +482% |
| Aetna | Medicare | $3,928.76 | ↑ +489% |
| Cigna | Medicare | $3,955.13 | ↑ +493% |
| United Healthcare | Medicare | $4,030.47 | ↑ +505% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4,068.13 | ↑ +510% |
| Capital Blue Cross | CHIP | $7,348.95 | ↑ +1002% |
| Capital Blue Cross | Commercial | $7,348.95 | ↑ +1002% |
| Keystone Health Plan | Commercial | $7,348.95 | ↑ +1002% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Bx/exc lymph node/open/superfic 38500 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $411.00 | $83.44 – $1,041.88 |
| UPMC Kane | Kane | $444.60 | $448.22 – $1,704.57 |
| UPMC Somerset | Somerset | $666.60 | $240.68 – $3,650.76 |
| UPMC St. Margaret | Pittsburgh | $4,189.20 | $492.33 – $4,015.84 |
| Uniontown Hospital | Uniontown | $4,500.50 | $105.00 – $7,882.34 |
| UPMC Altoona | Altoona | not published | $448.22 – $3,942.82 |
| UPMC Bedford | Everett | not published | $448.22 – $3,942.82 |
| UPMC Carlisle | Carlisle | not published | $469.07 – $5,861.07 |