Echo exam of eye at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$197.40
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.
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What you pay up front if you don't use insurance.
$329.00
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.
$46.94 with United Healthcare Community Plan for Families vs $414.42 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $46.94 | ↓ -76% |
| Capital Blue Cross | Medicare Advantage | $65.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $65.80 | ↓ -67% |
| Prime Net | Managed Medicare | $79.62 | ↓ -60% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $82.32 | ↓ -58% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $85.74 | ↓ -57% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $87.03 | ↓ -56% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $88.28 | ↓ -55% |
| Humana | Medicare | $89.21 | ↓ -55% |
| Aetna | Medicare | $90.33 | ↓ -54% |
| Cigna | Medicare | $90.94 | ↓ -54% |
| United Healthcare | Medicare | $92.67 | ↓ -53% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $93.54 | ↓ -53% |
| Geisinger | Medicaid/CHIP | $94.42 | ↓ -52% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $110.47 | ↓ -44% |
| Keystone Health Plan | Commercial | $185.67 | ↓ -6% |
| Aetna | ACO | $193.78 | ↓ -2% |
| Aetna | PEBTF ACO | $205.62 | ↑ +4% |
| UPMC Work Partners | Workers Comp | $206.41 | ↑ +5% |
| InterGroup | PPO | $213.85 | ↑ +8% |
| Aetna | Commercial | $242.14 | ↑ +23% |
| Prime Net | FH-Medical Rental | $247.41 | ↑ +25% |
| Wellspan Population Health | Commercial | $279.65 | ↑ +42% |
| UPMC Health Plan | CHIP | $305.76 | ↑ +55% |
| Capital Blue Cross | CHIP | $316.00 | ↑ +60% |
| Capital Blue Cross | Commercial | $316.00 | ↑ +60% |
| Highmark BCBS of PA | CHIP | $414.42 | ↑ +110% |
| Highmark BCBS of PA | Commercial | $414.42 | ↑ +110% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Echo exam of eye at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $197.40 | $45.07 – $279.65 |
| UPMC Hanover | Hanover | $197.40 | $46.94 – $206.41 |
| UPMC Lititz | Lititz | $197.40 | $46.94 – $201.07 |
| UPMC Memorial | York | $197.40 | $46.94 – $236.34 |
| UPMC Mercy | Pittsburgh | $430.20 | $69.98 – $207.94 |
| UPMC Presbyterian | Pittsburgh | $722.40 | $43.00 – $241.79 |
| UPMC Somerset | Somerset | $197.40 | $41.20 – $192.13 |
| UPMC St. Margaret | Pittsburgh | $486.60 | $71.30 – $207.92 |