Dilate ic vasospasm ea add vsl same territory at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,269.00
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.
$2,115.00
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.
$133.24 with United Healthcare Community Plan for Families vs $1,780.75 with Wellspan Population Health — 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 | $133.24 | ↓ -90% |
| Keystone Health Plan | Medicare Advantage | $419.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $419.00 | ↓ -67% |
| Prime Net | Managed Medicare | $506.99 | ↓ -60% |
| Aetna | Medicare | $525.85 | ↓ -59% |
| Aetna | ACO | $1,028.64 | ↓ -19% |
| Aetna | PEBTF ACO | $1,091.49 | ↓ -14% |
| Geisinger | Medicaid/CHIP | $1,152.25 | ↓ -9% |
| Capital Blue Cross | Commercial | $1,157.91 | ↓ -9% |
| Capital Blue Cross | CHIP | $1,157.91 | ↓ -9% |
| Keystone Health Plan | Commercial | $1,215.73 | ↓ -4% |
| Aetna | Commercial | $1,284.23 | ↑ +1% |
| InterGroup | PPO | $1,361.75 | ↑ +7% |
| Highmark BCBS of PA | Commercial | $1,449.01 | ↑ +14% |
| Highmark BCBS of PA | CHIP | $1,449.01 | ↑ +14% |
| UPMC Health Plan | CHIP | $1,466.50 | ↑ +16% |
| Prime Net | FH-Medical Rental | $1,575.44 | ↑ +24% |
| Wellspan Population Health | Commercial | $1,780.75 | ↑ +40% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Dilate ic vasospasm ea add vsl same territory at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,257.00 | $133.24 – $5,035.00 |
| UPMC Hamot | Erie | $2,145.00 | $351.03 – $505.54 |
| UPMC Hanover | Hanover | $1,257.00 | $133.24 – $133.24 |
| UPMC Lititz | Lititz | $1,257.00 | $133.24 – $146.14 |
| UPMC Memorial | York | $1,257.00 | $133.24 – $286.11 |
| UPMC Mercy | Pittsburgh | $1,623.00 | $351.03 – $351.03 |
| UPMC Presbyterian | Pittsburgh | $9,783.00 | $122.05 – $354.38 |
| UPMC Somerset | Somerset | $1,269.00 | $116.97 – $347.48 |