CT colonography screening at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$689.40
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.
$1,149.00
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.
$229.80 with Capital Blue Cross vs $4,460.41 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $229.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $229.80 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $235.40 | ↓ -66% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $238.95 | ↓ -65% |
| Humana | Medicare | $244.91 | ↓ -64% |
| Aetna | Medicare | $248.00 | ↓ -64% |
| Cigna | Medicare | $249.67 | ↓ -64% |
| United Healthcare | Medicare | $254.42 | ↓ -63% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $256.80 | ↓ -63% |
| Prime Net | Managed Medicare | $278.06 | ↓ -60% |
| Premier Comp Solutions | Worker's Comp | $280.00 | ↓ -59% |
| United Healthcare Community Plan for Families | PA Medicaid | $470.09 | ↓ -32% |
| Geisinger | Medicaid/CHIP | $631.95 | ↓ -8% |
| Aetna | ACO | $676.76 | ↓ -2% |
| Aetna | PEBTF ACO | $718.12 | ↑ +4% |
| InterGroup | PPO | $746.85 | ↑ +8% |
| Aetna | Commercial | $845.66 | ↑ +23% |
| Prime Net | FH-Medical Rental | $864.05 | ↑ +25% |
| Wellspan Population Health | Commercial | $976.65 | ↑ +42% |
| Keystone Health Plan | Commercial | $2,803.18 | ↑ +307% |
| Capital Blue Cross | CHIP | $2,803.18 | ↑ +307% |
| Capital Blue Cross | Commercial | $2,803.18 | ↑ +307% |
| UPMC Health Plan | CHIP | $3,543.51 | ↑ +414% |
| Highmark BCBS of PA | Commercial | $4,460.41 | ↑ +547% |
| Highmark BCBS of PA | CHIP | $4,460.41 | ↑ +547% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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CT colonography screening at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $689.40 | $127.18 – $976.65 |
| UPMC Northwest | Seneca | $6,423.00 | $209.00 – $248.89 |
| UPMC Hanover | Hanover | $689.40 | $228.61 – $3,543.51 |
| UPMC Kane | Kane | $1,710.60 | $2,368.75 – $2,609.35 |
| UPMC Lititz | Lititz | $689.40 | $229.84 – $3,543.51 |
| UPMC Memorial | York | $689.40 | $241.76 – $3,568.21 |
| UPMC Presbyterian | Pittsburgh | $8,484.60 | $248.89 – $2,224.50 |
| UPMC Somerset | Somerset | $689.40 | $228.15 – $412.68 |