Eeg 41-60 minutes 95812-26 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$790.80
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.
?
What you pay up front if you don't use insurance.
$1,318.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$49.44 with AmeriHealth Caritas vs $3,178.35 with Keystone Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $49.44 | ↓ -94% |
| United Healthcare Community Plan for Families | PA Medicaid | $51.00 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $53.02 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $56.71 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $66.34 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $110.31 | ↓ -86% |
| Keystone Health Plan | Medicare Advantage | $263.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $263.60 | ↓ -67% |
| UPMC Health Plan | CHIP | $283.30 | ↓ -64% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $303.26 | ↓ -62% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $307.82 | ↓ -61% |
| Humana | Medicare | $315.51 | ↓ -60% |
| Prime Net | Managed Medicare | $318.96 | ↓ -60% |
| Aetna | Medicare | $319.49 | ↓ -60% |
| Cigna | Medicare | $321.64 | ↓ -59% |
| United Healthcare | Medicare | $327.76 | ↓ -59% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $330.83 | ↓ -58% |
| Highmark BCBS of PA | CHIP | $556.35 | ↓ -30% |
| Highmark BCBS of PA | Commercial | $556.35 | ↓ -30% |
| Aetna | ACO | $647.14 | ↓ -18% |
| Aetna | PEBTF ACO | $686.68 | ↓ -13% |
| Aetna | Commercial | $807.93 | ↑ +2% |
| InterGroup | PPO | $856.70 | ↑ +8% |
| Prime Net | FH-Medical Rental | $991.14 | ↑ +25% |
| Wellspan Population Health | Commercial | $1,120.30 | ↑ +42% |
| Capital Blue Cross | Commercial | $3,178.35 | ↑ +302% |
| Capital Blue Cross | CHIP | $3,178.35 | ↑ +302% |
| Keystone Health Plan | Commercial | $3,178.35 | ↑ +302% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Eeg 41-60 minutes 95812-26 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $448.80 | $38.93 – $598.40 |
| UPMC Carlisle | Carlisle | $790.80 | $49.44 – $1,120.30 |
| UPMC Cole | Coudersport | $997.80 | $95.00 – $1,330.40 |
| UPMC Hamot | Erie | $274.80 | $88.98 – $375.76 |
| UPMC Hanover | Hanover | $790.80 | $49.44 – $475.97 |
| UPMC Lititz | Lititz | $790.80 | $49.44 – $478.54 |
| UPMC Magee | Pittsburgh | $615.60 | $89.83 – $320.63 |
| UPMC Memorial | York | $790.80 | $49.44 – $477.76 |