Chylomicron screen, bf - sendout at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$222.60
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.
$371.00
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.
$49.15 with United Healthcare Community Plan for Families vs $373.33 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 | $49.15 | ↓ -78% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $60.88 | ↓ -73% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $61.80 | ↓ -72% |
| Humana | Medicare | $63.34 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $63.60 | ↓ -71% |
| Aetna | Medicare | $64.14 | ↓ -71% |
| Cigna | Medicare | $64.58 | ↓ -71% |
| United Healthcare | Medicare | $65.81 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $66.42 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $74.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $74.20 | ↓ -67% |
| Prime Net | Managed Medicare | $89.78 | ↓ -60% |
| Keystone Health Plan | Commercial | $200.82 | ↓ -10% |
| Capital Blue Cross | CHIP | $200.82 | ↓ -10% |
| Capital Blue Cross | Commercial | $200.82 | ↓ -10% |
| Geisinger | Medicaid/CHIP | $204.05 | ↓ -8% |
| Aetna | ACO | $218.52 | ↓ -2% |
| Aetna | PEBTF ACO | $231.88 | ↑ +4% |
| InterGroup | PPO | $241.15 | ↑ +8% |
| UPMC Health Plan | CHIP | $264.54 | ↑ +19% |
| Aetna | Commercial | $273.06 | ↑ +23% |
| Prime Net | FH-Medical Rental | $278.99 | ↑ +25% |
| Wellspan Population Health | Commercial | $315.35 | ↑ +42% |
| Highmark BCBS of PA | CHIP | $373.33 | ↑ +68% |
| Highmark BCBS of PA | Commercial | $373.33 | ↑ +68% |
Visitor-reported prices
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Chylomicron screen, bf - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $463.20 | $60.78 – $617.60 |
| UPMC Bedford | Everett | $606.60 | $22.19 – $909.90 |
| UPMC Carlisle | Carlisle | $222.60 | $33.83 – $315.35 |
| UPMC Cole | Coudersport | $321.00 | $39.98 – $428.00 |
| UPMC East | Monroeville | $721.80 | $60.78 – $962.40 |
| UPMC Hamot | Erie | $198.00 | $47.23 – $93.39 |
| UPMC Northwest | Seneca | $526.20 | $55.77 – $66.42 |
| UPMC Hanover | Hanover | $222.60 | $49.15 – $264.54 |