Evasc prlng admn rx agnt add at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,269.00
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.
$2,115.00
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.
$236.09 with United Healthcare Community Plan for Families vs $23,763.60 with Keystone 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $236.09 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $315.56 | ↓ -75% |
| Capital Blue Cross | Medicare Advantage | $423.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $423.00 | ↓ -67% |
| Prime Net | Managed Medicare | $511.83 | ↓ -60% |
| Aetna | Medicare | $530.87 | ↓ -58% |
| Highmark BCBS of PA | Commercial | $649.81 | ↓ -49% |
| Highmark BCBS of PA | CHIP | $649.81 | ↓ -49% |
| Aetna | ACO | $1,038.46 | ↓ -18% |
| Aetna | PEBTF ACO | $1,101.91 | ↓ -13% |
| Geisinger | Medicaid/CHIP | $1,163.25 | ↓ -8% |
| Aetna | Commercial | $1,296.49 | ↑ +2% |
| InterGroup | PPO | $1,374.75 | ↑ +8% |
| UPMC Health Plan | CHIP | $1,480.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,590.48 | ↑ +25% |
| Wellspan Population Health | Commercial | $1,797.75 | ↑ +42% |
| Capital Blue Cross | CHIP | $23,763.60 | ↑ +1773% |
| Capital Blue Cross | Commercial | $23,763.60 | ↑ +1773% |
| Keystone Health Plan | Commercial | $23,763.60 | ↑ +1773% |
Visitor-reported prices
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Evasc prlng admn rx agnt add at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $1,522.20 | $157.42 – $687.47 |
| UPMC Mercy | Pittsburgh | $1,774.20 | $157.42 – $326.47 |
| UPMC Passavant-McCandless | Pittsburgh | $3,171.60 | $158.92 – $350.62 |
| UPMC Presbyterian | Pittsburgh | $3,835.80 | $158.92 – $379.62 |
| UPMC Somerset | Somerset | $1,269.00 | $155.83 – $301.53 |
| UPMC St. Margaret | Pittsburgh | $2,865.00 | $158.92 – $301.53 |