Egd Ultrasound fine needle bx/aspir at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$694.80
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.
$1,158.00
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.
$231.60 with Keystone Health Plan vs $3,700.03 with UPMC Health Plan — 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $231.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $231.60 | ↓ -67% |
| Prime Net | Managed Medicare | $280.24 | ↓ -60% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $340.48 | ↓ -51% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $343.51 | ↓ -51% |
| Geisinger | Medicaid/CHIP | $367.37 | ↓ -47% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $429.82 | ↓ -38% |
| UPMC Work Partners | Workers Comp | $613.45 | ↓ -12% |
| InterGroup | PPO | $752.70 | ↑ +8% |
| Prime Net | FH-Medical Rental | $870.82 | ↑ +25% |
| Wellspan Population Health | Commercial | $984.30 | ↑ +42% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↑ +46% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,847.37 | ↑ +166% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,875.17 | ↑ +170% |
| Humana | Medicare | $1,922.01 | ↑ +177% |
| Aetna | Medicare | $1,946.27 | ↑ +180% |
| Cigna | Medicare | $1,959.33 | ↑ +182% |
| United Healthcare | Medicare | $1,996.65 | ↑ +187% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,015.31 | ↑ +190% |
| Aetna | ACO | $2,684.00 | ↑ +286% |
| Aetna | PEBTF ACO | $2,963.00 | ↑ +326% |
| Capital Blue Cross | CHIP | $3,135.30 | ↑ +351% |
| Keystone Health Plan | Commercial | $3,135.30 | ↑ +351% |
| Capital Blue Cross | Commercial | $3,135.30 | ↑ +351% |
| Highmark BCBS of PA | CHIP | $3,240.76 | ↑ +366% |
| Highmark BCBS of PA | Commercial | $3,240.76 | ↑ +366% |
| Aetna | Commercial | $3,485.00 | ↑ +402% |
| UPMC Health Plan | CHIP | $3,700.03 | ↑ +433% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Egd Ultrasound fine needle bx/aspir at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $3,748.20 | $277.43 – $1,953.23 |
| UPMC Mercy | Pittsburgh | $3,677.40 | $277.43 – $1,989.40 |
| UPMC Passavant-McCandless | Pittsburgh | $4,258.20 | $277.43 – $1,989.40 |
| UPMC Presbyterian | Pittsburgh | $4,440.00 | $277.43 – $1,989.40 |
| UPMC Somerset | Somerset | $694.80 | $277.43 – $1,808.55 |
| UPMC St. Margaret | Pittsburgh | $2,296.80 | $277.43 – $1,989.40 |
| UPMC Wellsboro | Wellsboro | $4,128.80 | $277.43 – $993.28 |
| UPMC Williamsport | Williamsport | $3,414.00 | $277.43 – $1,935.15 |