Complx repair fccmnaxghf 13132 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,212.00
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.
?
What you pay up front if you don't use insurance.
$2,020.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$404.00 with Keystone Health Plan vs $4,854.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $404.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $404.00 | ↓ -67% |
| Prime Net | Managed Medicare | $488.84 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $596.12 | ↓ -51% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $605.09 | ↓ -50% |
| Humana | Medicare | $620.20 | ↓ -49% |
| Aetna | Medicare | $628.03 | ↓ -48% |
| Cigna | Medicare | $632.25 | ↓ -48% |
| United Healthcare | Medicare | $644.29 | ↓ -47% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $650.31 | ↓ -46% |
| UPMC Work Partners | Workers Comp | $797.72 | ↓ -34% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -16% |
| Geisinger | Medicaid/CHIP | $1,111.00 | ↓ -8% |
| InterGroup | PPO | $1,313.00 | ↑ +8% |
| Prime Net | FH-Medical Rental | $1,519.04 | ↑ +25% |
| Wellspan Population Health | Commercial | $1,717.00 | ↑ +42% |
| UPMC Health Plan | CHIP | $2,654.06 | ↑ +119% |
| Capital Blue Cross | Commercial | $2,656.50 | ↑ +119% |
| Capital Blue Cross | CHIP | $2,656.50 | ↑ +119% |
| Keystone Health Plan | Commercial | $2,656.50 | ↑ +119% |
| Highmark BCBS of PA | CHIP | $3,454.83 | ↑ +185% |
| Highmark BCBS of PA | Commercial | $3,454.83 | ↑ +185% |
| Aetna | ACO | $3,737.00 | ↑ +208% |
| Aetna | PEBTF ACO | $4,126.00 | ↑ +240% |
| Aetna | Commercial | $4,854.00 | ↑ +300% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair fccmnaxghf 13132 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,965.00 | $595.15 – $2,620.00 |
| UPMC Bedford | Everett | $1,863.00 | $210.56 – $2,794.50 |
| UPMC Carlisle | Carlisle | $1,212.00 | $276.74 – $1,717.00 |
| UPMC Cole | Coudersport | $1,941.60 | $362.85 – $1,192.92 |
| UPMC East | Monroeville | $3,504.60 | $585.17 – $4,672.80 |
| UPMC Hamot | Erie | $3,582.00 | $673.54 – $848.80 |
| UPMC Northwest | Seneca | $5,469.60 | $529.26 – $762.27 |
| UPMC Hanover | Hanover | $1,212.00 | $578.92 – $2,654.06 |