Consultation pathology during surgery at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$78.60
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.
$131.00
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.
$9.91 with UPMC Health Plan vs $130.59 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 |
|---|---|---|---|
| UPMC Health Plan | CHIP | $9.91 | ↓ -87% |
| Keystone Health Plan | Medicare Advantage | $26.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $26.20 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $29.77 | ↓ -62% |
| Prime Net | Managed Medicare | $31.70 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $39.00 | ↓ -50% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $40.55 | ↓ -48% |
| Geisinger | Medicaid/CHIP | $43.36 | ↓ -45% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $50.73 | ↓ -35% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $57.85 | ↓ -26% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $58.72 | ↓ -25% |
| Humana | Medicare | $60.18 | ↓ -23% |
| Aetna | Medicare | $60.94 | ↓ -22% |
| Cigna | Medicare | $61.35 | ↓ -22% |
| United Healthcare | Medicare | $62.52 | ↓ -20% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $63.10 | ↓ -20% |
| Aetna | ACO | $77.16 | ↓ -2% |
| Aetna | PEBTF ACO | $81.88 | ↑ +4% |
| InterGroup | PPO | $85.15 | ↑ +8% |
| UPMC Work Partners | Workers Comp | $93.32 | ↑ +19% |
| Aetna | Commercial | $96.42 | ↑ +23% |
| Prime Net | FH-Medical Rental | $98.51 | ↑ +25% |
| Wellspan Population Health | Commercial | $111.35 | ↑ +42% |
| Capital Blue Cross | Commercial | $130.59 | ↑ +66% |
| Capital Blue Cross | CHIP | $130.59 | ↑ +66% |
| Keystone Health Plan | Commercial | $130.59 | ↑ +66% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Consultation pathology during surgery at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $78.60 | $9.91 – $111.35 |
| UPMC East | Monroeville | $159.60 | $2.73 – $212.80 |
| UPMC Hamot | Erie | $133.80 | $4.95 – $95.98 |
| UPMC Northwest | Seneca | $63.60 | $2.75 – $89.17 |
| UPMC Hanover | Hanover | $78.60 | $9.91 – $93.32 |
| UPMC Jameson | New Castle | $55.80 | $6.11 – $89.17 |
| UPMC Lititz | Lititz | $78.60 | $9.91 – $94.72 |
| UPMC Magee | Pittsburgh | $118.20 | $2.89 – $95.98 |