Coombs direct at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$75.00
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.
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What you pay up front if you don't use insurance.
$125.00
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.
$5.34 with Highmark BCBS of PA vs $68.00 with Wellspan Population Health — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $5.34 | ↓ -93% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $5.42 | ↓ -93% |
| Humana | Medicare | $5.55 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $5.57 | ↓ -93% |
| Aetna | Medicare | $5.62 | ↓ -93% |
| Cigna | Medicare | $5.66 | ↓ -92% |
| United Healthcare | Medicare | $5.77 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5.82 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7.43 | ↓ -90% |
| United Healthcare Community Plan for Families | PA Medicaid | $9.73 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $10.12 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $10.82 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $12.66 | ↓ -83% |
| Keystone Health Plan | Medicare Advantage | $16.00 | ↓ -79% |
| Capital Blue Cross | Medicare Advantage | $16.00 | ↓ -79% |
| Prime Net | Managed Medicare | $19.36 | ↓ -74% |
| UPMC Health Plan | CHIP | $20.10 | ↓ -73% |
| Capital Blue Cross | Commercial | $31.39 | ↓ -58% |
| Keystone Health Plan | Commercial | $31.39 | ↓ -58% |
| Capital Blue Cross | CHIP | $31.39 | ↓ -58% |
| Highmark BCBS of PA | Commercial | $41.46 | ↓ -45% |
| Highmark BCBS of PA | CHIP | $41.46 | ↓ -45% |
| Aetna | ACO | $47.12 | ↓ -37% |
| Aetna | PEBTF ACO | $50.00 | ↓ -33% |
| InterGroup | PPO | $52.00 | ↓ -31% |
| Aetna | Commercial | $58.88 | ↓ -21% |
| Prime Net | FH-Medical Rental | $60.16 | ↓ -20% |
| Wellspan Population Health | Commercial | $68.00 | ↓ -9% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Coombs direct at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $46.80 | $5.32 – $62.40 |
| UPMC Bedford | Everett | $41.40 | $1.94 – $62.10 |
| UPMC Carlisle | Carlisle | $48.00 | $5.34 – $68.00 |
| UPMC Cole | Coudersport | $41.40 | $3.50 – $55.20 |
| UPMC East | Monroeville | $80.40 | $5.32 – $107.20 |
| UPMC Hamot | Erie | $130.80 | $5.32 – $49.63 |
| UPMC Northwest | Seneca | $37.20 | $4.89 – $8.54 |
| UPMC Hanover | Hanover | $48.00 | $5.34 – $10.12 |