#creutz-prot.,western blot at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$147.60
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.
$246.00
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.
$24.55 with AmeriHealth Caritas vs $209.10 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $24.55 | ↓ -83% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $28.92 | ↓ -80% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $29.35 | ↓ -80% |
| Humana | Medicare | $30.09 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $30.21 | ↓ -80% |
| Aetna | Medicare | $30.47 | ↓ -79% |
| Cigna | Medicare | $30.67 | ↓ -79% |
| United Healthcare | Medicare | $31.25 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $31.55 | ↓ -79% |
| United Healthcare Community Plan for Families | PA Medicaid | $32.16 | ↓ -78% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $33.44 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $35.76 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $41.84 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $49.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $49.20 | ↓ -67% |
| Prime Net | Managed Medicare | $59.53 | ↓ -60% |
| Capital Blue Cross | Commercial | $105.21 | ↓ -29% |
| Keystone Health Plan | Commercial | $105.21 | ↓ -29% |
| Capital Blue Cross | CHIP | $105.21 | ↓ -29% |
| Aetna | ACO | $144.89 | ↓ -2% |
| UPMC Health Plan | CHIP | $150.86 | ↑ +2% |
| Aetna | PEBTF ACO | $153.75 | ↑ +4% |
| InterGroup | PPO | $159.90 | ↑ +8% |
| Aetna | Commercial | $181.06 | ↑ +23% |
| Prime Net | FH-Medical Rental | $184.99 | ↑ +25% |
| Highmark BCBS of PA | Commercial | $195.58 | ↑ +33% |
| Highmark BCBS of PA | CHIP | $195.58 | ↑ +33% |
| Wellspan Population Health | Commercial | $209.10 | ↑ +42% |
Visitor-reported prices
Comments
#creutz-prot.,western blot at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $192.00 | $24.55 – $244.00 |
| UPMC Bedford | Everett | $108.60 | $10.54 – $162.90 |
| UPMC Carlisle | Carlisle | $147.60 | $24.55 – $209.10 |
| UPMC East | Monroeville | $379.20 | $24.55 – $476.80 |
| UPMC Hamot | Erie | $307.20 | $24.55 – $48.92 |
| UPMC Northwest | Seneca | $166.20 | $26.49 – $31.55 |
| UPMC Hanover | Hanover | $147.60 | $24.55 – $46.74 |
| UPMC Horizon-Greenville | Greenville | $400.20 | $24.55 – $54.81 |