Cytopathology fna adequacy evaluation first episode each site interp/rpt at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$223.80
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.
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What you pay up front if you don't use insurance.
$373.00
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.
$30.20 with Keystone Health Plan vs $235.53 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $30.20 | ↓ -87% |
| Capital Blue Cross | Medicare Advantage | $30.20 | ↓ -87% |
| Prime Net | Managed Medicare | $36.54 | ↓ -84% |
| United Healthcare Community Plan for Families | PA Medicaid | $40.07 | ↓ -82% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $52.03 | ↓ -77% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $52.82 | ↓ -76% |
| Humana | Medicare | $54.14 | ↓ -76% |
| Aetna | Medicare | $54.82 | ↓ -76% |
| Cigna | Medicare | $55.19 | ↓ -75% |
| United Healthcare | Medicare | $56.24 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $56.76 | ↓ -75% |
| UPMC Health Plan | CHIP | $79.86 | ↓ -64% |
| Geisinger | Medicaid/CHIP | $83.05 | ↓ -63% |
| Aetna | ACO | $88.94 | ↓ -60% |
| Aetna | PEBTF ACO | $94.38 | ↓ -58% |
| InterGroup | PPO | $98.15 | ↓ -56% |
| Highmark BCBS of PA | Commercial | $101.21 | ↓ -55% |
| Highmark BCBS of PA | CHIP | $101.21 | ↓ -55% |
| Aetna | Commercial | $111.14 | ↓ -50% |
| Prime Net | FH-Medical Rental | $113.55 | ↓ -49% |
| Wellspan Population Health | Commercial | $128.35 | ↓ -43% |
| UPMC Work Partners | Workers Comp | $148.60 | ↓ -34% |
| Capital Blue Cross | Commercial | $235.53 | ↑ +5% |
| Capital Blue Cross | CHIP | $235.53 | ↑ +5% |
| Keystone Health Plan | Commercial | $235.53 | ↑ +5% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
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Cytopathology fna adequacy evaluation first episode each site interp/rpt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $249.60 | $25.32 – $332.80 |
| UPMC Bedford | Everett | $145.80 | $18.38 – $218.70 |
| UPMC Carlisle | Carlisle | $116.40 | $26.58 – $164.90 |
| UPMC Cole | Coudersport | $251.40 | $53.00 – $335.20 |
| UPMC East | Monroeville | $197.40 | $21.97 – $263.20 |
| UPMC Hamot | Erie | $288.00 | $25.32 – $146.41 |
| UPMC Northwest | Seneca | $85.20 | $22.17 – $141.99 |
| UPMC Hanover | Hanover | $116.40 | $40.07 – $148.60 |