Chemotherapy injection 96542 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$288.00
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.
$480.00
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.
$47.54 with AmeriHealth Caritas vs $408.00 with Wellspan Population Health — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.54 | ↓ -83% |
| United Healthcare Community Plan for Families | PA Medicaid | $49.03 | ↓ -83% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $50.98 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $54.52 | ↓ -81% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $63.79 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $96.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $96.00 | ↓ -67% |
| Prime Net | Managed Medicare | $116.16 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $236.18 | ↓ -18% |
| Capital Blue Cross | Commercial | $265.30 | ↓ -8% |
| Capital Blue Cross | CHIP | $265.30 | ↓ -8% |
| UPMC Health Plan | CHIP | $276.19 | ↓ -4% |
| Keystone Health Plan | Commercial | $278.54 | ↓ -3% |
| Aetna | ACO | $282.72 | ↓ -2% |
| Highmark BCBS of PA | Commercial | $286.54 | ↓ -1% |
| Highmark BCBS of PA | CHIP | $286.54 | ↓ -1% |
| Aetna | PEBTF ACO | $300.00 | ↑ +4% |
| InterGroup | PPO | $312.00 | ↑ +8% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $323.02 | ↑ +12% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $327.88 | ↑ +14% |
| Humana | Medicare | $336.07 | ↑ +17% |
| Aetna | Medicare | $340.31 | ↑ +18% |
| Cigna | Medicare | $342.59 | ↑ +19% |
| United Healthcare | Medicare | $349.12 | ↑ +21% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $352.38 | ↑ +22% |
| Aetna | Commercial | $353.28 | ↑ +23% |
| Prime Net | FH-Medical Rental | $360.96 | ↑ +25% |
| Wellspan Population Health | Commercial | $408.00 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Chemotherapy injection 96542 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $978.00 | $37.43 – $1,304.00 |
| UPMC Carlisle | Carlisle | $288.00 | $47.54 – $507.68 |
| UPMC Cole | Coudersport | $490.20 | $39.30 – $653.60 |
| UPMC Hanover | Hanover | $288.00 | $47.54 – $506.98 |
| UPMC Lititz | Lititz | $288.00 | $47.54 – $509.71 |
| UPMC Magee | Pittsburgh | $433.80 | $41.17 – $341.53 |
| UPMC Memorial | York | $288.00 | $47.54 – $508.90 |
| UPMC Somerset | Somerset | $288.00 | $41.17 – $316.23 |