Clsd tx/metacarpal fx/sg without manip 26600 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$470.40
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.
$784.00
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.
$88.27 with AmeriHealth Caritas vs $1,471.05 with Keystone Health Plan — 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 | $88.27 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $94.66 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $101.23 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $118.44 | ↓ -75% |
| Capital Blue Cross | Medicare Advantage | $156.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $156.80 | ↓ -67% |
| Prime Net | Managed Medicare | $189.73 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $233.61 | ↓ -50% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $237.13 | ↓ -50% |
| Humana | Medicare | $243.05 | ↓ -48% |
| Aetna | Medicare | $246.12 | ↓ -48% |
| Cigna | Medicare | $247.77 | ↓ -47% |
| United Healthcare | Medicare | $252.49 | ↓ -46% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $254.85 | ↓ -46% |
| UPMC Health Plan | CHIP | $283.02 | ↓ -40% |
| UPMC Work Partners | Workers Comp | $346.47 | ↓ -26% |
| Highmark BCBS of PA | Commercial | $383.64 | ↓ -18% |
| Highmark BCBS of PA | CHIP | $383.64 | ↓ -18% |
| Aetna | ACO | $384.94 | ↓ -18% |
| Aetna | PEBTF ACO | $408.46 | ↓ -13% |
| Aetna | Commercial | $480.59 | ↑ +2% |
| InterGroup | PPO | $509.60 | ↑ +8% |
| Prime Net | FH-Medical Rental | $589.57 | ↑ +25% |
| Wellspan Population Health | Commercial | $666.40 | ↑ +42% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↑ +116% |
| Capital Blue Cross | Commercial | $1,471.05 | ↑ +213% |
| Capital Blue Cross | CHIP | $1,471.05 | ↑ +213% |
| Keystone Health Plan | Commercial | $1,471.05 | ↑ +213% |
| 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/metacarpal fx/sg without manip 26600 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $381.60 | $72.97 – $572.40 |
| UPMC Carlisle | Carlisle | $470.40 | $88.27 – $1,016.56 |
| UPMC Cole | Coudersport | $923.40 | $52.95 – $321.94 |
| UPMC Hanover | Hanover | $470.40 | $88.27 – $1,016.56 |
| UPMC Kane | Kane | $361.20 | $76.45 – $1,291.22 |
| UPMC Lititz | Lititz | $470.40 | $88.27 – $1,016.56 |
| UPMC Memorial | York | $470.40 | $75.75 – $1,016.56 |
| UPMC Muncy | Muncy | $825.60 | $76.45 – $993.28 |