Critical care 30-74 minutes at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$2,304.00
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.
$3,840.00
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.
$192.57 with AmeriHealth Caritas vs $1,303.05 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 | $192.57 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $198.64 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $206.52 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $220.86 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $258.41 | ↓ -89% |
| Capital Blue Cross | Medicare Advantage | $306.60 | ↓ -87% |
| Keystone Health Plan | Medicare Advantage | $306.60 | ↓ -87% |
| Prime Net | Managed Medicare | $370.99 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $372.39 | ↓ -84% |
| UPMC Health Plan | CHIP | $582.06 | ↓ -75% |
| Aetna | ACO | $752.70 | ↓ -67% |
| Aetna | PEBTF ACO | $798.69 | ↓ -65% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $820.57 | ↓ -64% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $832.92 | ↓ -64% |
| Capital Blue Cross | CHIP | $847.29 | ↓ -63% |
| Capital Blue Cross | Commercial | $847.29 | ↓ -63% |
| Humana | Medicare | $853.73 | ↓ -63% |
| Aetna | Medicare | $864.50 | ↓ -62% |
| Cigna | Medicare | $870.30 | ↓ -62% |
| United Healthcare | Medicare | $886.88 | ↓ -62% |
| Keystone Health Plan | Commercial | $889.60 | ↓ -61% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $895.17 | ↓ -61% |
| Aetna | Commercial | $939.73 | ↓ -59% |
| InterGroup | PPO | $996.45 | ↓ -57% |
| Highmark BCBS of PA | Commercial | $1,019.62 | ↓ -56% |
| Highmark BCBS of PA | CHIP | $1,019.62 | ↓ -56% |
| Prime Net | FH-Medical Rental | $1,152.82 | ↓ -50% |
| Wellspan Population Health | Commercial | $1,303.05 | ↓ -43% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Critical care 30-74 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,460.60 | $151.63 – $3,280.80 |
| UPMC Bedford | Everett | $1,087.80 | $159.21 – $1,631.70 |
| UPMC Carlisle | Carlisle | $2,304.00 | $192.57 – $3,264.00 |
| UPMC Cole | Coudersport | $1,185.60 | $159.21 – $553.28 |
| UPMC East | Monroeville | $1,501.80 | $166.79 – $2,002.40 |
| UPMC Hamot | Erie | $2,664.00 | $166.79 – $1,001.31 |
| UPMC Northwest | Seneca | $1,263.00 | $166.79 – $843.50 |
| UPMC Hanover | Hanover | $2,304.00 | $192.57 – $1,287.92 |