Ductogram sgl duct at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$547.80
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.
$913.00
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.
$51.06 with United Healthcare Community Plan for Families vs $776.05 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 | $51.06 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $71.72 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $76.91 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $82.25 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $96.24 | ↓ -82% |
| Premier Comp Solutions | Worker's Comp | $154.55 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $154.55 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $182.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $182.60 | ↓ -67% |
| Prime Net | Managed Medicare | $220.95 | ↓ -60% |
| Aetna | Medicare | $229.16 | ↓ -58% |
| Capital Blue Cross | CHIP | $281.61 | ↓ -49% |
| Capital Blue Cross | Commercial | $281.61 | ↓ -49% |
| Keystone Health Plan | Commercial | $281.61 | ↓ -49% |
| UPMC Health Plan | CHIP | $385.17 | ↓ -30% |
| Aetna | ACO | $537.76 | ↓ -2% |
| Aetna | PEBTF ACO | $570.62 | ↑ +4% |
| InterGroup | PPO | $593.45 | ↑ +8% |
| Highmark BCBS of PA | CHIP | $619.55 | ↑ +13% |
| Highmark BCBS of PA | Commercial | $619.55 | ↑ +13% |
| Aetna | Commercial | $671.97 | ↑ +23% |
| Prime Net | FH-Medical Rental | $686.58 | ↑ +25% |
| Wellspan Population Health | Commercial | $776.05 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ductogram sgl duct at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $547.80 | $51.06 – $1,224.77 |
| UPMC Hanover | Hanover | $547.80 | $51.06 – $1,224.77 |
| UPMC Jameson | New Castle | $606.00 | $44.83 – $561.45 |
| UPMC Kane | Kane | $409.20 | $62.12 – $163.13 |
| UPMC Lititz | Lititz | $547.80 | $46.61 – $1,224.77 |
| UPMC Magee | Pittsburgh | $607.20 | $62.12 – $248.89 |
| UPMC Memorial | York | $547.80 | $46.61 – $1,224.77 |
| UPMC Muncy | Muncy | $862.20 | $49.89 – $157.98 |