Dup scan/hemodialysis access 93990 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$375.60
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.
$626.00
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.
$103.55 with Highmark BCBS of PA vs $556.70 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $103.55 | ↓ -72% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $105.11 | ↓ -72% |
| United Healthcare Community Plan for Families | PA Medicaid | $105.47 | ↓ -72% |
| Humana | Medicare | $107.74 | ↓ -71% |
| Aetna | Medicare | $109.10 | ↓ -71% |
| Cigna | Medicare | $109.83 | ↓ -71% |
| United Healthcare | Medicare | $111.92 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $112.97 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $117.46 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $125.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $125.20 | ↓ -67% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $125.97 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $134.72 | ↓ -64% |
| Prime Net | Managed Medicare | $151.49 | ↓ -60% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $157.62 | ↓ -58% |
| UPMC Health Plan | CHIP | $283.47 | ↓ -25% |
| Aetna | ACO | $307.37 | ↓ -18% |
| Aetna | PEBTF ACO | $326.15 | ↓ -13% |
| Capital Blue Cross | Commercial | $345.99 | ↓ -8% |
| Capital Blue Cross | CHIP | $345.99 | ↓ -8% |
| Keystone Health Plan | Commercial | $363.27 | ↓ -3% |
| UPMC Work Partners | Workers Comp | $365.94 | ↓ -3% |
| Aetna | Commercial | $383.74 | ↑ +2% |
| InterGroup | PPO | $406.90 | ↑ +8% |
| Prime Net | FH-Medical Rental | $470.75 | ↑ +25% |
| Wellspan Population Health | Commercial | $532.10 | ↑ +42% |
| Highmark BCBS of PA | CHIP | $556.70 | ↑ +48% |
| Highmark BCBS of PA | Commercial | $556.70 | ↑ +48% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Dup scan/hemodialysis access 93990 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,017.60 | $80.51 – $1,356.80 |
| UPMC Carlisle | Carlisle | $375.60 | $85.76 – $532.10 |
| UPMC Hamot | Erie | $241.20 | $89.04 – $383.47 |
| UPMC Northwest | Seneca | $498.00 | $91.94 – $349.68 |
| UPMC Hanover | Hanover | $375.60 | $100.57 – $365.94 |
| UPMC Horizon-Greenville | Greenville | $520.20 | $90.77 – $349.68 |
| UPMC Jameson | New Castle | $242.40 | $90.61 – $349.68 |
| UPMC Lititz | Lititz | $375.60 | $101.12 – $360.51 |