Diagnostic radio unlisted proc at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$170.40
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.
$284.00
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.
$56.80 with Capital Blue Cross vs $241.40 with Wellspan Population Health — 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $56.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $56.80 | ↓ -67% |
| UPMC Health Plan | CHIP | $64.74 | ↓ -62% |
| Prime Net | Managed Medicare | $68.73 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $69.43 | ↓ -59% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $85.74 | ↓ -50% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $87.03 | ↓ -49% |
| Humana | Medicare | $89.21 | ↓ -48% |
| Aetna | Medicare | $90.33 | ↓ -47% |
| Cigna | Medicare | $90.94 | ↓ -47% |
| United Healthcare | Medicare | $92.67 | ↓ -46% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $93.54 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $156.20 | ↓ -8% |
| Capital Blue Cross | CHIP | $156.97 | ↓ -8% |
| Capital Blue Cross | Commercial | $156.97 | ↓ -8% |
| Keystone Health Plan | Commercial | $164.81 | ↓ -3% |
| Aetna | ACO | $167.28 | ↓ -2% |
| Aetna | PEBTF ACO | $177.50 | ↑ +4% |
| InterGroup | PPO | $184.60 | ↑ +8% |
| Aetna | Commercial | $209.02 | ↑ +23% |
| Prime Net | FH-Medical Rental | $213.57 | ↑ +25% |
| Wellspan Population Health | Commercial | $241.40 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic radio unlisted proc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $255.00 | $64.74 – $340.00 |
| UPMC Carlisle | Carlisle | $170.40 | $38.91 – $241.40 |
| UPMC Hanover | Hanover | $170.40 | $64.74 – $134.58 |
| UPMC Kane | Kane | $264.00 | $47.67 – $47.67 |
| UPMC Lititz | Lititz | $170.40 | $64.74 – $135.31 |
| UPMC Magee | Pittsburgh | $2,070.60 | $18.84 – $92.34 |
| UPMC Memorial | York | $170.40 | $64.74 – $279.67 |
| UPMC Presbyterian | Pittsburgh | $686.40 | $63.60 – $92.34 |