Cath bi-dir df smarttouch at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$8,232.00
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.
$13,720.00
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.
$779.20 with Keystone Health Plan vs $10,910.57 with Highmark BCBS of PA — 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 | $779.20 | ↓ -91% |
| Capital Blue Cross | Medicare Advantage | $779.20 | ↓ -91% |
| Prime Net | Managed Medicare | $942.83 | ↓ -89% |
| Aetna | Medicare | $977.90 | ↓ -88% |
| Aetna | ACO | $1,912.94 | ↓ -77% |
| Aetna | PEBTF ACO | $2,029.82 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $2,142.80 | ↓ -74% |
| Capital Blue Cross | Commercial | $2,153.32 | ↓ -74% |
| Capital Blue Cross | CHIP | $2,153.32 | ↓ -74% |
| Keystone Health Plan | Commercial | $2,260.85 | ↓ -73% |
| Aetna | Commercial | $2,388.25 | ↓ -71% |
| InterGroup | PPO | $2,532.40 | ↓ -69% |
| Prime Net | FH-Medical Rental | $2,929.79 | ↓ -64% |
| Wellspan Population Health | Commercial | $3,311.60 | ↓ -60% |
| UPMC Health Plan | CHIP | $9,085.55 | ↑ +10% |
| Highmark BCBS of PA | CHIP | $10,910.57 | ↑ +33% |
| Highmark BCBS of PA | Commercial | $10,910.57 | ↑ +33% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cath bi-dir df smarttouch at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,602.00 | $1,473.45 – $9,085.55 |
| UPMC Hamot | Erie | $20,452.20 | $2,072.77 – $2,072.77 |
| UPMC Magee | Pittsburgh | $7,611.00 | $219.66 – $9,085.55 |
| UPMC Memorial | York | $8,232.00 | $199.69 – $9,085.55 |
| UPMC Mercy | Pittsburgh | $10,770.60 | $2,072.77 – $7,174.34 |
| UPMC Muncy | Muncy | $1,185.60 | $296.40 – $1,778.40 |
| UPMC Passavant-McCandless | Pittsburgh | $13,549.80 | $2,092.50 – $13,184.27 |
| UPMC Presbyterian | Pittsburgh | $17,618.40 | $2,092.50 – $14,689.72 |