Exc/pilonidal cyst/sinus/simple 11770 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$480.60
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.
$801.00
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.
$204.48 with AmeriHealth Caritas vs $5,805.45 with Capital Blue Cross — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $204.48 | ↓ -57% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $206.30 | ↓ -57% |
| Geisinger | Medicaid/CHIP | $220.63 | ↓ -54% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $258.14 | ↓ -46% |
| InterGroup | PPO | $680.85 | ↑ +42% |
| UPMC Work Partners | Workers Comp | $790.71 | ↑ +65% |
| United Healthcare Community Plan for Families | PA Medicaid | $903.90 | ↑ +88% |
| UPMC Health Plan | CHIP | $2,636.14 | ↑ +449% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,787.19 | ↑ +480% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2,829.14 | ↑ +489% |
| Humana | Medicare | $2,899.80 | ↑ +503% |
| Aetna | Medicare | $2,936.40 | ↑ +511% |
| Cigna | Medicare | $2,956.11 | ↑ +515% |
| United Healthcare | Medicare | $3,012.41 | ↑ +527% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,040.57 | ↑ +533% |
| Highmark BCBS of PA | Commercial | $3,454.83 | ↑ +619% |
| Highmark BCBS of PA | CHIP | $3,454.83 | ↑ +619% |
| Aetna | ACO | $3,737.00 | ↑ +678% |
| Aetna | PEBTF ACO | $4,126.00 | ↑ +759% |
| Aetna | Commercial | $4,854.00 | ↑ +910% |
| Keystone Health Plan | Commercial | $5,805.45 | ↑ +1108% |
| Capital Blue Cross | CHIP | $5,805.45 | ↑ +1108% |
| Capital Blue Cross | Commercial | $5,805.45 | ↑ +1108% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
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Exc/pilonidal cyst/sinus/simple 11770 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,229.00 | $192.37 – $7,407.75 |
| UPMC Northwest | Seneca | $5,481.60 | $166.62 – $2,865.05 |
| UPMC Hanover | Hanover | $5,229.00 | $192.37 – $4,374.59 |
| UPMC Lititz | Lititz | $5,229.00 | $192.37 – $4,398.21 |
| UPMC Magee | Pittsburgh | $3,669.60 | $166.62 – $2,946.91 |
| UPMC Muncy | Muncy | $7,126.80 | $166.62 – $883.20 |
| UPMC Passavant-McCandless | Pittsburgh | $4,251.00 | $166.62 – $3,001.48 |
| UPMC Presbyterian | Pittsburgh | $4,440.60 | $166.62 – $3,001.48 |