Chrom analysis at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$126.00
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.
$210.00
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.
$27.81 with United Healthcare Community Plan for Families vs $268.70 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $27.81 | ↓ -78% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $34.46 | ↓ -73% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $34.98 | ↓ -72% |
| Humana | Medicare | $35.85 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $36.01 | ↓ -71% |
| Aetna | Medicare | $36.31 | ↓ -71% |
| Cigna | Medicare | $36.55 | ↓ -71% |
| United Healthcare | Medicare | $37.25 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $37.59 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $42.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $42.00 | ↓ -67% |
| Prime Net | Managed Medicare | $50.82 | ↓ -60% |
| Geisinger | Medicaid/CHIP | $115.50 | ↓ -8% |
| Aetna | ACO | $123.69 | ↓ -2% |
| Aetna | PEBTF ACO | $131.25 | ↑ +4% |
| InterGroup | PPO | $136.50 | ↑ +8% |
| Capital Blue Cross | Commercial | $148.05 | ↑ +18% |
| Keystone Health Plan | Commercial | $148.05 | ↑ +18% |
| Capital Blue Cross | CHIP | $148.05 | ↑ +18% |
| Aetna | Commercial | $154.56 | ↑ +23% |
| Prime Net | FH-Medical Rental | $157.92 | ↑ +25% |
| Wellspan Population Health | Commercial | $178.50 | ↑ +42% |
| UPMC Health Plan | CHIP | $182.28 | ↑ +45% |
| Highmark BCBS of PA | CHIP | $268.70 | ↑ +113% |
| Highmark BCBS of PA | Commercial | $268.70 | ↑ +113% |
Visitor-reported prices
Comments
Chrom analysis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $123.00 | $34.41 – $164.00 |
| UPMC Bedford | Everett | $234.00 | $12.56 – $351.00 |
| UPMC Carlisle | Carlisle | $126.00 | $19.15 – $178.50 |
| UPMC Hamot | Erie | $367.20 | $34.41 – $67.21 |
| UPMC Northwest | Seneca | $228.60 | $31.57 – $37.59 |
| UPMC Kane | Kane | $474.60 | $34.41 – $150.24 |
| UPMC Magee | Pittsburgh | $652.20 | $32.58 – $67.85 |
| UPMC Presbyterian | Pittsburgh | $309.60 | $25.48 – $67.85 |