Cath 2lum 14.5frx43cm maxid kt mahurkar at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$364.20
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.
$607.00
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.
$32.40 with Capital Blue Cross vs $968.69 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $32.40 | ↓ -91% |
| Keystone Health Plan | Medicare Advantage | $32.40 | ↓ -91% |
| Prime Net | Managed Medicare | $39.20 | ↓ -89% |
| Aetna | Medicare | $40.66 | ↓ -89% |
| Aetna | ACO | $79.54 | ↓ -78% |
| Aetna | PEBTF ACO | $84.40 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $89.10 | ↓ -76% |
| Capital Blue Cross | Commercial | $89.54 | ↓ -75% |
| Capital Blue Cross | CHIP | $89.54 | ↓ -75% |
| Keystone Health Plan | Commercial | $94.01 | ↓ -74% |
| Aetna | Commercial | $99.31 | ↓ -73% |
| InterGroup | PPO | $105.30 | ↓ -71% |
| Prime Net | FH-Medical Rental | $121.82 | ↓ -67% |
| Wellspan Population Health | Commercial | $137.70 | ↓ -62% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $173.32 | ↓ -52% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $197.60 | ↓ -46% |
| UPMC Health Plan | CHIP | $968.69 | ↑ +166% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cath 2lum 14.5frx43cm maxid kt mahurkar at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $349.80 | $65.55 – $968.69 |
| UPMC Bedford | Everett | $161.40 | $51.11 – $968.69 |
| UPMC Carlisle | Carlisle | $97.20 | $22.19 – $137.70 |
| UPMC East | Monroeville | $966.00 | $46.50 – $968.69 |
| UPMC Northwest | Seneca | $428.40 | $1,172.20 – $1,172.20 |
| UPMC Hanover | Hanover | $97.20 | $968.69 – $968.69 |
| UPMC Horizon-Greenville | Greenville | $752.40 | $968.69 – $968.69 |
| UPMC Jameson | New Castle | $351.00 | $6.00 – $968.69 |