Change of windpipe airway 31502 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$463.80
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.
$773.00
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.
$124.62 with UPMC Work Partners vs $2,120.00 with Aetna — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $124.62 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $154.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $154.60 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $166.08 | ↓ -64% |
| Prime Net | Managed Medicare | $187.07 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $226.15 | ↓ -51% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $229.55 | ↓ -51% |
| Humana | Medicare | $235.28 | ↓ -49% |
| Aetna | Medicare | $238.25 | ↓ -49% |
| Cigna | Medicare | $239.85 | ↓ -48% |
| United Healthcare | Medicare | $244.42 | ↓ -47% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $246.70 | ↓ -47% |
| UPMC Health Plan | CHIP | $282.41 | ↓ -39% |
| Highmark BCBS of PA | Commercial | $383.64 | ↓ -17% |
| Highmark BCBS of PA | CHIP | $383.64 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $425.15 | ↓ -8% |
| InterGroup | PPO | $502.45 | ↑ +8% |
| Prime Net | FH-Medical Rental | $581.30 | ↑ +25% |
| Wellspan Population Health | Commercial | $657.05 | ↑ +42% |
| Capital Blue Cross | Commercial | $1,471.05 | ↑ +217% |
| Keystone Health Plan | Commercial | $1,471.05 | ↑ +217% |
| Capital Blue Cross | CHIP | $1,471.05 | ↑ +217% |
| Aetna | ACO | $1,633.00 | ↑ +252% |
| Aetna | PEBTF ACO | $1,802.00 | ↑ +289% |
| Aetna | Commercial | $2,120.00 | ↑ +357% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Change of windpipe airway 31502 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $454.20 | $92.94 – $605.60 |
| UPMC Carlisle | Carlisle | $463.80 | $105.90 – $657.05 |
| UPMC Cole | Coudersport | $220.20 | $10.53 – $2,325.85 |
| UPMC East | Monroeville | $319.20 | $93.83 – $425.60 |
| UPMC Hamot | Erie | $380.40 | $92.94 – $322.01 |
| UPMC Northwest | Seneca | $580.20 | $119.08 – $239.10 |
| UPMC Hanover | Hanover | $463.80 | $124.62 – $354.94 |
| UPMC Jameson | New Castle | $242.40 | $94.58 – $298.88 |