Cystoscopy prostatic imp 1-3 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
not published by hospital
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.
not published by hospital
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.
$3,757.51 with United Healthcare Community Plan for Families vs $5,681.00 with Aetna — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $3,757.51 | — |
| Aetna | ACO | $4,374.00 | — |
| Aetna | PEBTF ACO | $4,829.00 | — |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $4,950.65 | — |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $5,025.16 | — |
| Humana | Medicare | $5,150.68 | — |
| Aetna | Medicare | $5,215.69 | — |
| Highmark BCBS of PA | Commercial | $5,239.60 | — |
| Highmark BCBS of PA | CHIP | $5,239.60 | — |
| Cigna | Medicare | $5,250.69 | — |
| United Healthcare | Medicare | $5,350.71 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,400.71 | — |
| Aetna | Commercial | $5,681.00 | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy prostatic imp 1-3 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,266.60 | $401.09 – $1,688.80 |
| UPMC Horizon-Greenville | Greenville | $6,010.20 | $2,469.43 – $5,234.35 |
| UPMC Muncy | Muncy | $5,953.80 | $3,671.46 – $3,671.46 |
| UPMC Presbyterian | Pittsburgh | $8,013.60 | $1,281.42 – $5,331.28 |
| Uniontown Hospital | Uniontown | $712.50 | $5,196.96 – $12,108.92 |
| UPMC Northwest | Seneca | not published | $3,294.42 – $5,234.35 |
| UPMC Hanover | Hanover | not published | $3,757.51 – $7,770.21 |
| UPMC Memorial | York | not published | $1,034.56 – $7,799.49 |