Exc thigh/knee tum dep 5cm/> at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$3,514.80
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.
$5,858.00
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.
$1,016.56 with United Healthcare Community Plan for Families vs $7,348.95 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -71% |
| UPMC Work Partners | Workers Comp | $1,161.01 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,787.19 | ↓ -21% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2,829.14 | ↓ -20% |
| Humana | Medicare | $2,899.80 | ↓ -17% |
| Aetna | Medicare | $2,936.40 | ↓ -16% |
| Cigna | Medicare | $2,956.11 | ↓ -16% |
| United Healthcare | Medicare | $3,012.41 | ↓ -14% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,040.57 | ↓ -13% |
| Aetna | ACO | $3,737.00 | ↑ +6% |
| Aetna | PEBTF ACO | $4,126.00 | ↑ +17% |
| Aetna | Commercial | $4,854.00 | ↑ +38% |
| InterGroup | PPO | $4,979.30 | ↑ +42% |
| Highmark BCBS of PA | CHIP | $5,495.95 | ↑ +56% |
| Highmark BCBS of PA | Commercial | $5,495.95 | ↑ +56% |
| UPMC Health Plan | CHIP | $6,237.06 | ↑ +77% |
| Keystone Health Plan | Commercial | $7,348.95 | ↑ +109% |
| Capital Blue Cross | Commercial | $7,348.95 | ↑ +109% |
| Capital Blue Cross | CHIP | $7,348.95 | ↑ +109% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Exc thigh/knee tum dep 5cm/> at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,209.60 | $558.84 – $1,612.80 |
| UPMC Somerset | Somerset | $3,514.80 | $716.38 – $773.62 |
| UPMC Bedford | Everett | not published | $984.49 – $2,946.91 |
| UPMC Lititz | Lititz | not published | $1,016.56 – $6,237.06 |
| UPMC Memorial | York | not published | $1,016.56 – $6,237.06 |
| UPMC Presbyterian | Pittsburgh | not published | $931.20 – $3,001.48 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $10,638.00 – $10,638.00 |