Complx repair sal addl 5 cm/> 13122 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$828.60
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.
$1,381.00
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.
$95.43 with United Healthcare Community Plan for Families vs $2,656.50 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $95.43 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $185.06 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $276.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $276.20 | ↓ -67% |
| Prime Net | Managed Medicare | $334.20 | ↓ -60% |
| Aetna | Medicare | $346.63 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $759.55 | ↓ -8% |
| Highmark BCBS of PA | Commercial | $856.05 | ↑ +3% |
| Highmark BCBS of PA | CHIP | $856.05 | ↑ +3% |
| InterGroup | PPO | $897.65 | ↑ +8% |
| Prime Net | FH-Medical Rental | $1,038.51 | ↑ +25% |
| Wellspan Population Health | Commercial | $1,173.85 | ↑ +42% |
| UPMC Health Plan | CHIP | $1,308.89 | ↑ +58% |
| Aetna | ACO | $1,633.00 | ↑ +97% |
| Aetna | PEBTF ACO | $1,802.00 | ↑ +117% |
| Aetna | Commercial | $2,120.00 | ↑ +156% |
| Capital Blue Cross | Commercial | $2,656.50 | ↑ +221% |
| Keystone Health Plan | Commercial | $2,656.50 | ↑ +221% |
| Capital Blue Cross | CHIP | $2,656.50 | ↑ +221% |
Visitor-reported prices
Comments
Complx repair sal addl 5 cm/> 13122 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $418.20 | $176.83 – $1,308.89 |
| UPMC Carlisle | Carlisle | $828.60 | $95.43 – $1,173.85 |
| UPMC Cole | Coudersport | $486.60 | $66.25 – $1,470.59 |
| UPMC East | Monroeville | $1,062.00 | $176.83 – $1,416.00 |
| UPMC Hamot | Erie | $498.60 | $176.83 – $1,625.03 |
| UPMC Northwest | Seneca | $1,128.00 | $176.83 – $618.31 |
| UPMC Hanover | Hanover | $828.60 | $95.43 – $1,308.89 |
| UPMC Horizon-Greenville | Greenville | $872.40 | $176.83 – $710.02 |