Clsd tx mandibular fx without manip 21450 at UPMC Community Osteopathic

111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786

Source: hospital's published price file ↗ · Published unknown · Ingested Aug 13, 2026

$669.60

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,116.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$171.45 with AmeriHealth Caritas vs $4,854.00 with Aetna — 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 →

Payer
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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
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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 $171.45 ↓ -74%
Health Partners Plans (Jefferson Health Plan) Medicaid/CHIP $183.87 ↓ -73%
Geisinger Medicaid/CHIP $196.64 ↓ -71%
Capital Blue Cross Medicare Advantage $223.20 ↓ -67%
Keystone Health Plan Medicare Advantage $223.20 ↓ -67%
PA Health & Wellness Community Health Choices/PA Medicaid HMO $230.07 ↓ -66%
Prime Net Managed Medicare $270.07 ↓ -60%
Highmark BCBS of PA Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage $495.93 ↓ -26%
Highmark BCBS of PA Freedom Blue Medicare Advantage $503.39 ↓ -25%
Humana Medicare $515.97 ↓ -23%
Aetna Medicare $522.48 ↓ -22%
Cigna Medicare $525.99 ↓ -21%
United Healthcare Medicare $536.01 ↓ -20%
PA Health & Wellness Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) $541.02 ↓ -19%
UPMC Work Partners Workers Comp $604.39 ↓ -10%
InterGroup PPO $725.40 ↑ +8%
Prime Net FH-Medical Rental $839.23 ↑ +25%
Wellspan Population Health Commercial $948.60 ↑ +42%
United Healthcare Community Plan for Families PA Medicaid $1,016.56 ↑ +52%
UPMC Health Plan CHIP $2,638.61 ↑ +294%
Capital Blue Cross Commercial $2,656.50 ↑ +297%
Capital Blue Cross CHIP $2,656.50 ↑ +297%
Keystone Health Plan Commercial $2,656.50 ↑ +297%
Highmark BCBS of PA Commercial $3,454.83 ↑ +416%
Highmark BCBS of PA CHIP $3,454.83 ↑ +416%
Aetna ACO $3,737.00 ↑ +458%
Aetna PEBTF ACO $4,126.00 ↑ +516%
Aetna Commercial $4,854.00 ↑ +625%
Tricare Tricare not published by hospital
US Family Health Plan Tricare Prime not published by hospital

Visitor-reported prices

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Clsd tx mandibular fx without manip 21450 at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $669.60 $152.89 – $1,016.56
UPMC Cole Coudersport $1,944.60 $141.75 – $1,192.92
UPMC Hamot Erie $4,639.80 $148.50 – $836.96
UPMC Hanover Hanover $669.60 $171.45 – $1,016.56
UPMC Lititz Lititz $669.60 $171.45 – $1,016.56
UPMC Memorial York $669.60 $171.45 – $1,016.56
UPMC Muncy Muncy $961.80 $148.50 – $993.28
UPMC Presbyterian Pittsburgh $6,864.00 $148.50 – $931.20

All Pennsylvania hospitals for this procedure →