Cath plc art/angio/rt hrt cath at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$5,873.40
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.
$9,789.00
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.
$1,016.56 with United Healthcare Community Plan for Families vs $15,803.55 with Keystone 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $1,698.35 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $1,957.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,957.80 | ↓ -67% |
| Prime Net | Managed Medicare | $2,368.94 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,132.28 | ↓ -47% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $3,179.42 | ↓ -46% |
| Humana | Medicare | $3,258.84 | ↓ -45% |
| Aetna | Medicare | $3,299.97 | ↓ -44% |
| Cigna | Medicare | $3,322.12 | ↓ -43% |
| United Healthcare | Medicare | $3,385.39 | ↓ -42% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,417.03 | ↓ -42% |
| Geisinger | Medicaid/CHIP | $5,383.95 | ↓ -8% |
| InterGroup | PPO | $6,362.85 | ↑ +8% |
| UPMC Health Plan | CHIP | $6,887.94 | ↑ +17% |
| Prime Net | FH-Medical Rental | $7,361.33 | ↑ +25% |
| Wellspan Population Health | Commercial | $8,320.65 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $8,445.78 | ↑ +44% |
| Highmark BCBS of PA | CHIP | $8,445.78 | ↑ +44% |
| Aetna | ACO | $9,415.00 | ↑ +60% |
| Aetna | PEBTF ACO | $10,393.00 | ↑ +77% |
| Aetna | Commercial | $12,232.00 | ↑ +108% |
| Capital Blue Cross | Commercial | $15,803.55 | ↑ +169% |
| Capital Blue Cross | CHIP | $15,803.55 | ↑ +169% |
| Keystone Health Plan | Commercial | $15,803.55 | ↑ +169% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
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Cath plc art/angio/rt hrt cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,873.40 | $1,016.56 – $8,320.65 |
| UPMC East | Monroeville | $8,307.60 | $1,363.65 – $11,076.80 |
| UPMC Hamot | Erie | $11,300.40 | $1,350.79 – $4,459.95 |
| UPMC Northwest | Seneca | $8,503.80 | $1,622.87 – $3,311.78 |
| UPMC Hanover | Hanover | $5,873.40 | $1,016.56 – $6,887.94 |
| UPMC Jameson | New Castle | $4,640.40 | $892.40 – $3,833.07 |
| UPMC Lititz | Lititz | $5,873.40 | $1,016.56 – $6,887.94 |
| UPMC Magee | Pittsburgh | $11,700.00 | $1,363.65 – $3,373.11 |