Cytopathology cellular enhancement technique non-gyn at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$265.20
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.
$442.00
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.
$38.80 with Keystone Health Plan vs $401.27 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $38.80 | ↓ -85% |
| Capital Blue Cross | Medicare Advantage | $38.80 | ↓ -85% |
| Prime Net | Managed Medicare | $46.95 | ↓ -82% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $52.03 | ↓ -80% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $52.82 | ↓ -80% |
| United Healthcare Community Plan for Families | PA Medicaid | $54.05 | ↓ -80% |
| Humana | Medicare | $54.14 | ↓ -80% |
| Aetna | Medicare | $54.82 | ↓ -79% |
| Cigna | Medicare | $55.19 | ↓ -79% |
| United Healthcare | Medicare | $56.24 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $56.76 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $92.08 | ↓ -65% |
| Aetna | ACO | $114.27 | ↓ -57% |
| Aetna | PEBTF ACO | $121.25 | ↓ -54% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $125.41 | ↓ -53% |
| InterGroup | PPO | $126.10 | ↓ -52% |
| Geisinger | Medicaid/CHIP | $134.12 | ↓ -49% |
| UPMC Health Plan | CHIP | $142.74 | ↓ -46% |
| Aetna | Commercial | $142.78 | ↓ -46% |
| Prime Net | FH-Medical Rental | $145.89 | ↓ -45% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $156.92 | ↓ -41% |
| Wellspan Population Health | Commercial | $164.90 | ↓ -38% |
| Capital Blue Cross | Commercial | $166.07 | ↓ -37% |
| Capital Blue Cross | CHIP | $166.07 | ↓ -37% |
| Keystone Health Plan | Commercial | $166.07 | ↓ -37% |
| UPMC Work Partners | Workers Comp | $228.71 | ↓ -14% |
| Highmark BCBS of PA | Commercial | $401.27 | ↑ +51% |
| Highmark BCBS of PA | CHIP | $401.27 | ↑ +51% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Cytopathology cellular enhancement technique non-gyn at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $177.60 | $41.26 – $236.80 |
| UPMC Bedford | Everett | $591.60 | $18.38 – $887.40 |
| UPMC Carlisle | Carlisle | $116.40 | $26.58 – $228.71 |
| UPMC Cole | Coudersport | $128.40 | $42.51 – $218.54 |
| UPMC East | Monroeville | $776.40 | $39.27 – $1,035.20 |
| UPMC Hamot | Erie | $375.00 | $23.43 – $218.54 |
| UPMC Northwest | Seneca | $316.20 | $39.63 – $218.54 |
| UPMC Hanover | Hanover | $116.40 | $50.53 – $228.71 |