Cholesterol at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$22.20
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.
$37.00
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.
$4.31 with Highmark BCBS of PA vs $33.59 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $4.31 | ↓ -81% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $4.37 | ↓ -80% |
| Humana | Medicare | $4.48 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $4.50 | ↓ -80% |
| Aetna | Medicare | $4.54 | ↓ -80% |
| Cigna | Medicare | $4.57 | ↓ -79% |
| United Healthcare | Medicare | $4.65 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.70 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.01 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $7.00 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $7.00 | ↓ -68% |
| United Healthcare Community Plan for Families | PA Medicaid | $7.87 | ↓ -65% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $8.19 | ↓ -63% |
| Prime Net | Managed Medicare | $8.47 | ↓ -62% |
| Geisinger | Medicaid/CHIP | $8.75 | ↓ -61% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $10.24 | ↓ -54% |
| Aetna | ACO | $20.61 | ↓ -7% |
| Aetna | PEBTF ACO | $21.88 | ↓ -1% |
| InterGroup | PPO | $22.75 | ↑ +2% |
| Capital Blue Cross | CHIP | $25.46 | ↑ +15% |
| Capital Blue Cross | Commercial | $25.46 | ↑ +15% |
| Keystone Health Plan | Commercial | $25.46 | ↑ +15% |
| Aetna | Commercial | $25.76 | ↑ +16% |
| Prime Net | FH-Medical Rental | $26.32 | ↑ +19% |
| Wellspan Population Health | Commercial | $29.75 | ↑ +34% |
| UPMC Health Plan | CHIP | $31.81 | ↑ +43% |
| Highmark BCBS of PA | CHIP | $33.59 | ↑ +51% |
| Highmark BCBS of PA | Commercial | $33.59 | ↑ +51% |
Visitor-reported prices
Comments
Cholesterol at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $73.80 | $4.30 – $98.40 |
| UPMC Bedford | Everett | $24.60 | $1.57 – $35.10 |
| UPMC Carlisle | Carlisle | $22.20 | $4.31 – $31.45 |
| UPMC Cole | Coudersport | $34.20 | $2.83 – $45.60 |
| UPMC East | Monroeville | $64.80 | $4.30 – $86.40 |
| UPMC Hamot | Erie | $152.40 | $4.30 – $8.40 |
| UPMC Northwest | Seneca | $40.80 | $3.95 – $6.91 |
| UPMC Hanover | Hanover | $22.20 | $4.31 – $8.19 |