Bx perianal mass at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$2,348.40
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.
$3,914.00
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.
$49.84 with UPMC Health Plan vs $3,326.90 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 | $49.84 | ↓ -98% |
| Highmark BCBS of PA | Commercial | $76.73 | ↓ -97% |
| Highmark BCBS of PA | CHIP | $76.73 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $664.08 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $782.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $782.80 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $887.86 | ↓ -62% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $901.22 | ↓ -62% |
| Humana | Medicare | $923.73 | ↓ -61% |
| Aetna | Medicare | $935.39 | ↓ -60% |
| Cigna | Medicare | $941.67 | ↓ -60% |
| Prime Net | Managed Medicare | $947.19 | ↓ -60% |
| United Healthcare | Medicare | $959.61 | ↓ -59% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $968.58 | ↓ -59% |
| Aetna | ACO | $1,633.00 | ↓ -30% |
| Aetna | PEBTF ACO | $1,802.00 | ↓ -23% |
| Aetna | Commercial | $2,120.00 | ↓ -10% |
| Geisinger | Medicaid/CHIP | $2,152.70 | ↓ -8% |
| InterGroup | PPO | $2,544.10 | ↑ +8% |
| Capital Blue Cross | CHIP | $2,656.50 | ↑ +13% |
| Keystone Health Plan | Commercial | $2,656.50 | ↑ +13% |
| Capital Blue Cross | Commercial | $2,656.50 | ↑ +13% |
| Prime Net | FH-Medical Rental | $2,943.33 | ↑ +25% |
| Wellspan Population Health | Commercial | $3,326.90 | ↑ +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 perianal mass at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $120.00 | $18.59 – $938.75 |
| UPMC Carlisle | Carlisle | $2,348.40 | $49.84 – $3,326.90 |
| UPMC East | Monroeville | $106.20 | $18.77 – $938.75 |
| UPMC Hamot | Erie | $117.00 | $18.59 – $1,264.19 |
| UPMC Hanover | Hanover | $2,348.40 | $49.84 – $1,393.54 |
| UPMC Horizon-Greenville | Greenville | $666.60 | $27.92 – $938.75 |
| UPMC Lititz | Lititz | $2,348.40 | $49.84 – $1,401.06 |
| UPMC Memorial | York | $2,348.40 | $15.15 – $1,398.78 |