Cannula ercp contour 5-4-3 tip at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$289.80
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.
$483.00
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.
$96.60 with Capital Blue Cross vs $410.55 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $96.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $96.60 | ↓ -67% |
| Prime Net | Managed Medicare | $116.89 | ↓ -60% |
| Aetna | Medicare | $121.23 | ↓ -58% |
| Aetna | ACO | $147.80 | ↓ -49% |
| Aetna | PEBTF ACO | $157.46 | ↓ -46% |
| Geisinger | Medicaid/CHIP | $159.39 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $160.98 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $183.54 | ↓ -37% |
| Aetna | Commercial | $184.99 | ↓ -36% |
| Capital Blue Cross | CHIP | $266.95 | ↓ -8% |
| Capital Blue Cross | Commercial | $266.95 | ↓ -8% |
| Keystone Health Plan | Commercial | $280.28 | ↓ -3% |
| InterGroup | PPO | $313.95 | ↑ +8% |
| UPMC Health Plan | CHIP | $338.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $363.22 | ↑ +25% |
| Wellspan Population Health | Commercial | $410.55 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cannula ercp contour 5-4-3 tip at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,069.40 | $7.03 – $29.60 |
| UPMC Cole | Coudersport | $3,813.00 | $1,761.61 – $5,084.00 |
| UPMC East | Monroeville | $7,828.80 | $4.37 – $18.40 |
| UPMC Northwest | Seneca | $7,828.80 | $5.75 – $19.55 |
| UPMC Mercy | Pittsburgh | $7,828.80 | $5.52 – $4,566.80 |
| UPMC Passavant-McCandless | Pittsburgh | $8,298.60 | $5.06 – $19.55 |
| UPMC Presbyterian | Pittsburgh | $21,652.20 | $3.72 – $26.35 |
| UPMC St. Margaret | Pittsburgh | $2,565.60 | $4.40 – $18.70 |