Cystoscopy and treatment at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$784.80
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.
?
What you pay up front if you don't use insurance.
$1,308.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$163.83 with AmeriHealth Caritas vs $5,805.45 with Capital Blue Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $163.83 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $175.70 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $187.90 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $219.84 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $261.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $261.60 | ↓ -67% |
| Prime Net | Managed Medicare | $316.54 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $721.97 | ↓ -8% |
| United Healthcare Community Plan for Families | PA Medicaid | $850.19 | ↑ +8% |
| InterGroup | PPO | $850.20 | ↑ +8% |
| Prime Net | FH-Medical Rental | $983.62 | ↑ +25% |
| Wellspan Population Health | Commercial | $1,111.80 | ↑ +42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,994.93 | ↑ +154% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2,024.95 | ↑ +158% |
| Humana | Medicare | $2,075.53 | ↑ +164% |
| Aetna | Medicare | $2,101.73 | ↑ +168% |
| Cigna | Medicare | $2,115.83 | ↑ +170% |
| United Healthcare | Medicare | $2,156.14 | ↑ +175% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,176.29 | ↑ +177% |
| UPMC Health Plan | CHIP | $2,298.91 | ↑ +193% |
| Aetna | ACO | $2,684.00 | ↑ +242% |
| Aetna | PEBTF ACO | $2,963.00 | ↑ +278% |
| Highmark BCBS of PA | CHIP | $3,012.49 | ↑ +284% |
| Highmark BCBS of PA | Commercial | $3,012.49 | ↑ +284% |
| Aetna | Commercial | $3,485.00 | ↑ +344% |
| Capital Blue Cross | CHIP | $5,805.45 | ↑ +640% |
| Keystone Health Plan | Commercial | $5,805.45 | ↑ +640% |
| Capital Blue Cross | Commercial | $5,805.45 | ↑ +640% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy and treatment at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,494.00 | $129.00 – $5,992.00 |
| UPMC Bedford | Everett | $5,239.20 | $135.45 – $7,858.80 |
| UPMC Carlisle | Carlisle | $784.80 | $163.83 – $3,135.44 |
| UPMC Cole | Coudersport | $565.20 | $135.45 – $1,041.88 |
| UPMC East | Monroeville | $4,030.20 | $141.90 – $5,373.60 |
| UPMC Hamot | Erie | $4,356.00 | $141.90 – $2,840.52 |
| UPMC Northwest | Seneca | $4,368.00 | $141.90 – $2,050.66 |
| UPMC Hanover | Hanover | $784.80 | $163.83 – $3,131.10 |