Cardiac perf planar mult/ef/wm at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$4,242.60
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.
$7,071.00
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.
$64.80 with Keystone Health Plan vs $1,723.51 with UPMC Health Plan — 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $64.80 | ↓ -98% |
| Capital Blue Cross | Medicare Advantage | $64.80 | ↓ -98% |
| Prime Net | Managed Medicare | $78.41 | ↓ -98% |
| Aetna | ACO | $190.84 | ↓ -96% |
| Aetna | PEBTF ACO | $202.50 | ↓ -95% |
| InterGroup | PPO | $210.60 | ↓ -95% |
| Aetna | Commercial | $238.46 | ↓ -94% |
| Prime Net | FH-Medical Rental | $243.65 | ↓ -94% |
| Wellspan Population Health | Commercial | $275.40 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $285.57 | ↓ -93% |
| United Healthcare Community Plan for Families | PA Medicaid | $321.66 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $376.66 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $403.94 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $432.00 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $505.43 | ↓ -88% |
| Keystone Health Plan | Commercial | $579.70 | ↓ -86% |
| Capital Blue Cross | Commercial | $579.70 | ↓ -86% |
| Capital Blue Cross | CHIP | $579.70 | ↓ -86% |
| Highmark BCBS of PA | CHIP | $922.42 | ↓ -78% |
| Highmark BCBS of PA | Commercial | $922.42 | ↓ -78% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,271.33 | ↓ -70% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,290.46 | ↓ -70% |
| Humana | Medicare | $1,322.70 | ↓ -69% |
| Aetna | Medicare | $1,339.39 | ↓ -68% |
| Cigna | Medicare | $1,348.38 | ↓ -68% |
| United Healthcare | Medicare | $1,374.06 | ↓ -68% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,386.90 | ↓ -67% |
| UPMC Health Plan | CHIP | $1,723.51 | ↓ -59% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cardiac perf planar mult/ef/wm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,242.60 | $285.57 – $6,010.35 |
| UPMC Hamot | Erie | $1,140.00 | $209.80 – $1,888.73 |
| UPMC Hanover | Hanover | $4,242.60 | $285.57 – $1,995.41 |
| UPMC Horizon-Greenville | Greenville | $1,711.20 | $272.88 – $1,344.19 |
| UPMC Lititz | Lititz | $4,242.60 | $285.57 – $2,006.18 |
| UPMC McKeesport | Mckeesport | $1,699.20 | $211.80 – $1,369.08 |
| UPMC Memorial | York | $4,242.60 | $171.00 – $2,002.91 |
| UPMC Mercy | Pittsburgh | $1,692.60 | $209.80 – $1,369.08 |