Critical care each additional 30 minutes at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,152.00
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.
$1,920.00
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.
$94.49 with AmeriHealth Caritas vs $1,632.00 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $94.49 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $97.46 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $101.33 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $108.37 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $126.79 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $180.13 | ↓ -84% |
| UPMC Health Plan | CHIP | $212.41 | ↓ -82% |
| Capital Blue Cross | CHIP | $316.00 | ↓ -73% |
| Capital Blue Cross | Commercial | $316.00 | ↓ -73% |
| Highmark BCBS of PA | CHIP | $383.40 | ↓ -67% |
| Highmark BCBS of PA | Commercial | $383.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $384.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $384.00 | ↓ -67% |
| Prime Net | Managed Medicare | $464.64 | ↓ -60% |
| Aetna | Medicare | $481.92 | ↓ -58% |
| Aetna | ACO | $942.72 | ↓ -18% |
| Aetna | PEBTF ACO | $1,000.32 | ↓ -13% |
| Keystone Health Plan | Commercial | $1,114.18 | ↓ -3% |
| Aetna | Commercial | $1,176.96 | ↑ +2% |
| InterGroup | PPO | $1,248.00 | ↑ +8% |
| Prime Net | FH-Medical Rental | $1,443.84 | ↑ +25% |
| Wellspan Population Health | Commercial | $1,632.00 | ↑ +42% |
Visitor-reported prices
Comments
Critical care each additional 30 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,228.80 | $71.66 – $1,638.40 |
| UPMC Bedford | Everett | $319.20 | $78.12 – $478.80 |
| UPMC Carlisle | Carlisle | $1,152.00 | $94.49 – $2,050.00 |
| UPMC Cole | Coudersport | $363.60 | $78.12 – $287.20 |
| UPMC Hamot | Erie | $615.00 | $71.66 – $192.06 |
| UPMC Northwest | Seneca | $478.80 | $81.84 – $185.98 |
| UPMC Hanover | Hanover | $1,152.00 | $94.49 – $180.13 |
| UPMC Horizon-Greenville | Greenville | $552.60 | $78.12 – $222.87 |