Esoph imped funct test > 1hr at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,121.40
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.
$1,869.00
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.
$68.50 with United Healthcare Community Plan for Families vs $1,580.15 with Wellspan Population Health — 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 | $68.50 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $124.38 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $133.39 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $142.66 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $166.91 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $234.31 | ↓ -79% |
| Highmark BCBS of PA | Commercial | $319.03 | ↓ -72% |
| Highmark BCBS of PA | CHIP | $319.03 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $371.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $371.80 | ↓ -67% |
| Prime Net | Managed Medicare | $449.88 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $516.72 | ↓ -54% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $524.50 | ↓ -53% |
| Humana | Medicare | $537.60 | ↓ -52% |
| Aetna | Medicare | $544.38 | ↓ -51% |
| Cigna | Medicare | $548.04 | ↓ -51% |
| UPMC Health Plan | CHIP | $553.73 | ↓ -51% |
| United Healthcare | Medicare | $558.48 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $563.70 | ↓ -50% |
| Aetna | ACO | $912.77 | ↓ -19% |
| Aetna | PEBTF ACO | $968.54 | ↓ -14% |
| Capital Blue Cross | Commercial | $1,027.47 | ↓ -8% |
| Capital Blue Cross | CHIP | $1,027.47 | ↓ -8% |
| Keystone Health Plan | Commercial | $1,078.78 | ↓ -4% |
| Aetna | Commercial | $1,139.57 | ↑ +2% |
| InterGroup | PPO | $1,208.35 | ↑ +8% |
| Prime Net | FH-Medical Rental | $1,397.97 | ↑ +25% |
| Wellspan Population Health | Commercial | $1,580.15 | ↑ +41% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Esoph imped funct test > 1hr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $897.60 | $51.02 – $1,196.80 |
| UPMC Carlisle | Carlisle | $1,121.40 | $68.50 – $1,580.15 |
| UPMC Hanover | Hanover | $1,121.40 | $68.50 – $811.01 |
| UPMC Lititz | Lititz | $1,121.40 | $68.50 – $815.39 |
| UPMC Memorial | York | $1,121.40 | $41.59 – $814.06 |
| UPMC Mercy | Pittsburgh | $1,122.00 | $51.02 – $556.45 |
| UPMC Presbyterian | Pittsburgh | $1,548.60 | $51.51 – $556.45 |
| UPMC Somerset | Somerset | $1,121.40 | $50.51 – $505.86 |