Evaluation psychiatric diagnostic at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$669.00
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.
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What you pay up front if you don't use insurance.
$1,115.00
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.
$34.39 with United Healthcare Community Plan for Families vs $1,801.43 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 | $34.39 | ↓ -95% |
| Keystone Health Plan | Medicare Advantage | $119.40 | ↓ -82% |
| Capital Blue Cross | Medicare Advantage | $119.40 | ↓ -82% |
| Prime Net | Managed Medicare | $144.47 | ↓ -78% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $156.47 | ↓ -77% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $158.82 | ↓ -76% |
| Humana | Medicare | $162.79 | ↓ -76% |
| Aetna | Medicare | $164.85 | ↓ -75% |
| Cigna | Medicare | $165.95 | ↓ -75% |
| United Healthcare | Medicare | $169.11 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $170.69 | ↓ -74% |
| UPMC Work Partners | Workers Comp | $219.08 | ↓ -67% |
| Aetna | ACO | $293.13 | ↓ -56% |
| Aetna | PEBTF ACO | $311.04 | ↓ -54% |
| Geisinger | Medicaid/CHIP | $328.35 | ↓ -51% |
| Capital Blue Cross | Commercial | $329.96 | ↓ -51% |
| Capital Blue Cross | CHIP | $329.96 | ↓ -51% |
| Keystone Health Plan | Commercial | $346.44 | ↓ -48% |
| Aetna | Commercial | $365.96 | ↓ -45% |
| InterGroup | PPO | $388.05 | ↓ -42% |
| UPMC Health Plan | CHIP | $417.90 | ↓ -38% |
| Prime Net | FH-Medical Rental | $448.94 | ↓ -33% |
| Wellspan Population Health | Commercial | $507.45 | ↓ -24% |
| Highmark BCBS of PA | CHIP | $1,801.43 | ↑ +169% |
| Highmark BCBS of PA | Commercial | $1,801.43 | ↑ +169% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Evaluation psychiatric diagnostic at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $358.20 | $34.39 – $507.45 |
| UPMC Hanover | Hanover | $358.20 | $34.39 – $245.58 |
| UPMC Jameson | New Castle | $254.40 | $30.19 – $293.20 |
| UPMC Lititz | Lititz | $358.20 | $34.39 – $246.91 |
| UPMC Magee | Pittsburgh | $159.60 | $143.36 – $290.86 |
| UPMC Memorial | York | $358.20 | $34.39 – $246.51 |
| UPMC Presbyterian | Pittsburgh | $265.80 | $31.50 – $290.86 |
| UPMC Somerset | Somerset | $669.00 | $30.19 – $209.34 |