Drainage absc/cyst/hmtma/vestibule mouth smpl at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$924.60
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.
$1,541.00
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.
$33.66 with AmeriHealth Caritas vs $1,471.05 with Capital Blue Cross — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $33.66 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $36.09 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $38.60 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $45.16 | ↓ -95% |
| Keystone Health Plan | Medicare Advantage | $155.00 | ↓ -83% |
| Capital Blue Cross | Medicare Advantage | $155.00 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $184.54 | ↓ -80% |
| Prime Net | Managed Medicare | $187.55 | ↓ -80% |
| InterGroup | PPO | $334.90 | ↓ -64% |
| Aetna | ACO | $380.52 | ↓ -59% |
| UPMC Health Plan | CHIP | $401.58 | ↓ -57% |
| Aetna | PEBTF ACO | $403.77 | ↓ -56% |
| Aetna | Commercial | $475.07 | ↓ -49% |
| Highmark BCBS of PA | Commercial | $537.10 | ↓ -42% |
| Highmark BCBS of PA | CHIP | $537.10 | ↓ -42% |
| Prime Net | FH-Medical Rental | $582.80 | ↓ -37% |
| Wellspan Population Health | Commercial | $658.75 | ↓ -29% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $685.19 | ↓ -26% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $695.50 | ↓ -25% |
| Humana | Medicare | $712.87 | ↓ -23% |
| Aetna | Medicare | $721.87 | ↓ -22% |
| Cigna | Medicare | $726.72 | ↓ -21% |
| United Healthcare | Medicare | $740.56 | ↓ -20% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $747.48 | ↓ -19% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↑ +10% |
| Capital Blue Cross | CHIP | $1,471.05 | ↑ +59% |
| Keystone Health Plan | Commercial | $1,471.05 | ↑ +59% |
| Capital Blue Cross | Commercial | $1,471.05 | ↑ +59% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Drainage absc/cyst/hmtma/vestibule mouth smpl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $595.20 | $26.50 – $793.60 |
| UPMC Bedford | Everett | $897.00 | $27.82 – $1,345.50 |
| UPMC Carlisle | Carlisle | $924.60 | $33.66 – $1,309.85 |
| UPMC East | Monroeville | $543.60 | $29.15 – $724.80 |
| UPMC Hamot | Erie | $541.20 | $29.15 – $975.61 |
| UPMC Northwest | Seneca | $824.40 | $29.15 – $704.33 |
| UPMC Hanover | Hanover | $924.60 | $33.66 – $1,075.42 |
| UPMC Horizon-Greenville | Greenville | $626.40 | $29.15 – $724.45 |