Cystoscopy & ureter catheter at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$6,144.60
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.
$10,241.00
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.
$134.40 with Capital Blue Cross vs $5,805.45 with Keystone Health Plan — 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 | $134.40 | ↓ -98% |
| Keystone Health Plan | Medicare Advantage | $134.40 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $156.60 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $157.99 | ↓ -97% |
| Prime Net | Managed Medicare | $162.62 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $168.97 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $197.69 | ↓ -97% |
| InterGroup | PPO | $436.80 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $456.57 | ↓ -93% |
| Prime Net | FH-Medical Rental | $505.34 | ↓ -92% |
| Wellspan Population Health | Commercial | $571.20 | ↓ -91% |
| United Healthcare Community Plan for Families | PA Medicaid | $901.28 | ↓ -85% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,994.93 | ↓ -68% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2,024.95 | ↓ -67% |
| Humana | Medicare | $2,075.53 | ↓ -66% |
| Aetna | Medicare | $2,101.73 | ↓ -66% |
| Cigna | Medicare | $2,115.83 | ↓ -66% |
| United Healthcare | Medicare | $2,156.14 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,176.29 | ↓ -65% |
| UPMC Health Plan | CHIP | $2,314.98 | ↓ -62% |
| Aetna | ACO | $2,684.00 | ↓ -56% |
| Aetna | PEBTF ACO | $2,963.00 | ↓ -52% |
| Highmark BCBS of PA | Commercial | $3,012.49 | ↓ -51% |
| Highmark BCBS of PA | CHIP | $3,012.49 | ↓ -51% |
| Aetna | Commercial | $3,485.00 | ↓ -43% |
| Capital Blue Cross | CHIP | $5,805.45 | ↓ -6% |
| Capital Blue Cross | Commercial | $5,805.45 | ↓ -6% |
| Keystone Health Plan | Commercial | $5,805.45 | ↓ -6% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy & ureter catheter at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,494.00 | $116.00 – $5,992.00 |
| UPMC Bedford | Everett | $5,026.80 | $121.80 – $7,540.20 |
| UPMC Cole | Coudersport | $355.80 | $121.80 – $1,041.88 |
| UPMC East | Monroeville | $4,147.80 | $127.60 – $5,530.40 |
| UPMC Hamot | Erie | $3,942.60 | $127.60 – $2,840.52 |
| UPMC Northwest | Seneca | $4,281.00 | $127.60 – $2,050.66 |
| UPMC Horizon-Greenville | Greenville | $3,178.80 | $127.60 – $2,109.25 |
| UPMC Jameson | New Castle | $3,688.80 | $127.60 – $2,636.56 |