Claviculectomy partial at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
not published by hospital
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.
not published by hospital
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.
$371.25 with AmeriHealth Caritas vs $7,348.95 with Capital Blue Cross — 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 | $371.25 | — |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $374.55 | — |
| Geisinger | Medicaid/CHIP | $400.56 | — |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $468.65 | — |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | — |
| UPMC Work Partners | Workers Comp | $1,351.54 | — |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,159.74 | — |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $3,207.30 | — |
| Humana | Medicare | $3,287.41 | — |
| Aetna | Medicare | $3,328.90 | — |
| Cigna | Medicare | $3,351.24 | — |
| United Healthcare | Medicare | $3,415.08 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,446.99 | — |
| UPMC Health Plan | CHIP | $3,906.73 | — |
| Aetna | ACO | $4,935.00 | — |
| Highmark BCBS of PA | CHIP | $5,088.29 | — |
| Highmark BCBS of PA | Commercial | $5,088.29 | — |
| Aetna | PEBTF ACO | $5,448.00 | — |
| Aetna | Commercial | $6,409.00 | — |
| Keystone Health Plan | Commercial | $7,348.95 | — |
| Capital Blue Cross | Commercial | $7,348.95 | — |
| Capital Blue Cross | CHIP | $7,348.95 | — |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Claviculectomy partial at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,090.80 | $288.75 – $1,677.17 |
| UPMC Kane | Kane | $4,007.40 | $302.50 – $2,492.79 |
| Uniontown Hospital | Uniontown | $4,201.75 | $3,171.41 – $7,389.39 |
| UPMC Carlisle | Carlisle | not published | $349.25 – $4,966.18 |
| UPMC East | Monroeville | not published | $302.50 – $3,402.68 |
| UPMC Hamot | Erie | not published | $302.50 – $4,499.05 |
| UPMC Northwest | Seneca | not published | $302.50 – $3,248.02 |
| UPMC Hanover | Hanover | not published | $349.25 – $4,959.33 |