Endoluminl ivus oct c ea at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$3,046.80
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.
$5,078.00
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.
$170.91 with UPMC Health Plan vs $15,803.55 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 |
|---|---|---|---|
| UPMC Health Plan | CHIP | $170.91 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $358.23 | ↓ -88% |
| Highmark BCBS of PA | CHIP | $395.62 | ↓ -87% |
| Highmark BCBS of PA | Commercial | $395.62 | ↓ -87% |
| Capital Blue Cross | Medicare Advantage | $1,015.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,015.60 | ↓ -67% |
| Prime Net | Managed Medicare | $1,228.88 | ↓ -60% |
| Aetna | Medicare | $1,274.58 | ↓ -58% |
| Aetna | ACO | $2,493.30 | ↓ -18% |
| Aetna | PEBTF ACO | $2,645.64 | ↓ -13% |
| Geisinger | Medicaid/CHIP | $2,792.90 | ↓ -8% |
| Aetna | Commercial | $3,112.81 | ↑ +2% |
| InterGroup | PPO | $3,300.70 | ↑ +8% |
| Prime Net | FH-Medical Rental | $3,818.66 | ↑ +25% |
| Wellspan Population Health | Commercial | $4,316.30 | ↑ +42% |
| Capital Blue Cross | Commercial | $15,803.55 | ↑ +419% |
| Capital Blue Cross | CHIP | $15,803.55 | ↑ +419% |
| Keystone Health Plan | Commercial | $15,803.55 | ↑ +419% |
Visitor-reported prices
Comments
Endoluminl ivus oct c ea at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $436.80 | $63.27 – $582.40 |
| UPMC Carlisle | Carlisle | $3,046.80 | $170.91 – $17,298.00 |
| UPMC East | Monroeville | $325.80 | $63.88 – $434.40 |
| UPMC Hamot | Erie | $289.80 | $63.27 – $351.82 |
| UPMC Hanover | Hanover | $3,046.80 | $170.91 – $358.23 |
| UPMC Jameson | New Castle | $346.80 | $64.39 – $342.31 |
| UPMC Lititz | Lititz | $3,046.80 | $148.81 – $358.23 |
| UPMC Memorial | York | $3,046.80 | $51.57 – $358.23 |