Eeg phys/qhp 2-12 hr without vid at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$345.00
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.
$575.00
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.
$104.36 with AmeriHealth Caritas vs $3,178.35 with Capital Blue Cross — 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 | $104.36 | ↓ -70% |
| United Healthcare Community Plan for Families | PA Medicaid | $107.64 | ↓ -69% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $111.92 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $115.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $115.00 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $119.69 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $131.29 | ↓ -62% |
| Prime Net | Managed Medicare | $139.15 | ↓ -60% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $140.03 | ↓ -59% |
| Aetna | Medicare | $144.32 | ↓ -58% |
| Aetna | ACO | $282.32 | ↓ -18% |
| Aetna | PEBTF ACO | $299.57 | ↓ -13% |
| Aetna | Commercial | $352.48 | ↑ +2% |
| Highmark BCBS of PA | Commercial | $364.24 | ↑ +6% |
| Highmark BCBS of PA | CHIP | $364.24 | ↑ +6% |
| InterGroup | PPO | $373.75 | ↑ +8% |
| UPMC Health Plan | CHIP | $402.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $432.40 | ↑ +25% |
| Wellspan Population Health | Commercial | $488.75 | ↑ +42% |
| Capital Blue Cross | CHIP | $3,178.35 | ↑ +821% |
| Keystone Health Plan | Commercial | $3,178.35 | ↑ +821% |
| Capital Blue Cross | Commercial | $3,178.35 | ↑ +821% |
Visitor-reported prices
Comments
Eeg phys/qhp 2-12 hr without vid at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $345.00 | $78.78 – $1,611.00 |
| UPMC Hanover | Hanover | $345.00 | $104.36 – $1,611.00 |
| UPMC Lititz | Lititz | $345.00 | $96.56 – $1,611.00 |
| UPMC Magee | Pittsburgh | $553.80 | $58.81 – $140.03 |
| UPMC Memorial | York | $345.00 | $47.48 – $1,611.00 |
| UPMC Passavant-McCandless | Pittsburgh | $602.40 | $58.81 – $145.88 |
| UPMC Somerset | Somerset | $345.00 | $57.67 – $125.46 |