Chronic urticaria - sendout at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$24.60
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.
$41.00
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.
$8.20 with Keystone Health Plan vs $135.39 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $8.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $8.20 | ↓ -67% |
| Prime Net | Managed Medicare | $9.92 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $9.96 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $12.34 | ↓ -50% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $12.52 | ↓ -49% |
| Humana | Medicare | $12.83 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $12.89 | ↓ -48% |
| Aetna | Medicare | $13.00 | ↓ -47% |
| Cigna | Medicare | $13.08 | ↓ -47% |
| United Healthcare | Medicare | $13.33 | ↓ -46% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $13.46 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $22.55 | ↓ -8% |
| Aetna | ACO | $24.15 | ↓ -2% |
| Aetna | PEBTF ACO | $25.62 | ↑ +4% |
| InterGroup | PPO | $26.65 | ↑ +8% |
| Aetna | Commercial | $30.18 | ↑ +23% |
| Prime Net | FH-Medical Rental | $30.83 | ↑ +25% |
| Wellspan Population Health | Commercial | $34.85 | ↑ +42% |
| Capital Blue Cross | Commercial | $72.86 | ↑ +196% |
| Capital Blue Cross | CHIP | $72.86 | ↑ +196% |
| Keystone Health Plan | Commercial | $72.86 | ↑ +196% |
| UPMC Health Plan | CHIP | $88.70 | ↑ +261% |
| Highmark BCBS of PA | CHIP | $135.39 | ↑ +450% |
| Highmark BCBS of PA | Commercial | $135.39 | ↑ +450% |
Visitor-reported prices
Comments
Chronic urticaria - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $132.60 | $12.32 – $176.80 |
| UPMC Bedford | Everett | $220.20 | $4.50 – $330.30 |
| UPMC Carlisle | Carlisle | $24.60 | $5.62 – $34.85 |
| UPMC East | Monroeville | $264.60 | $12.32 – $352.80 |
| UPMC Hamot | Erie | $199.20 | $12.32 – $33.87 |
| UPMC Northwest | Seneca | $114.60 | $11.30 – $13.46 |
| UPMC Hanover | Hanover | $24.60 | $9.96 – $88.70 |
| UPMC Horizon-Greenville | Greenville | $123.00 | $11.16 – $23.38 |