Esophageal dilat s&i at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$504.60
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.
$841.00
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.
$107.90 with United Healthcare Community Plan for Families vs $737.72 with Highmark BCBS of PA — 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 | $107.90 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $137.66 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $147.63 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $157.88 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $168.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $168.20 | ↓ -67% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $184.72 | ↓ -63% |
| Prime Net | Managed Medicare | $203.52 | ↓ -60% |
| Aetna | Medicare | $211.09 | ↓ -58% |
| Premier Comp Solutions | Worker's Comp | $348.14 | ↓ -31% |
| UPMC Work Partners | Workers Comp | $353.42 | ↓ -30% |
| Aetna | ACO | $495.35 | ↓ -2% |
| Aetna | PEBTF ACO | $525.62 | ↑ +4% |
| UPMC Health Plan | CHIP | $539.22 | ↑ +7% |
| InterGroup | PPO | $546.65 | ↑ +8% |
| Capital Blue Cross | CHIP | $598.04 | ↑ +19% |
| Capital Blue Cross | Commercial | $598.04 | ↑ +19% |
| Keystone Health Plan | Commercial | $598.04 | ↑ +19% |
| Aetna | Commercial | $618.98 | ↑ +23% |
| Prime Net | FH-Medical Rental | $632.43 | ↑ +25% |
| Wellspan Population Health | Commercial | $714.85 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $737.72 | ↑ +46% |
| Highmark BCBS of PA | CHIP | $737.72 | ↑ +46% |
Visitor-reported prices
Comments
Esophageal dilat s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $504.60 | $107.90 – $714.85 |
| UPMC East | Monroeville | $936.00 | $119.23 – $1,248.00 |
| UPMC Hamot | Erie | $974.40 | $119.23 – $364.06 |
| UPMC Hanover | Hanover | $504.60 | $107.90 – $353.42 |
| UPMC Lititz | Lititz | $504.60 | $97.05 – $348.14 |
| UPMC Magee | Pittsburgh | $694.80 | $106.75 – $364.06 |
| UPMC Memorial | York | $504.60 | $97.05 – $761.25 |
| UPMC Mercy | Pittsburgh | $1,091.40 | $119.23 – $370.35 |