Exc thrombosed hemorrhoid 46320 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,522.80
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.
$2,538.00
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.
$50.80 with AmeriHealth Caritas vs $7,348.95 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $50.80 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $54.48 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $58.26 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $68.17 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $229.85 | ↓ -85% |
| Capital Blue Cross | Medicare Advantage | $507.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $507.60 | ↓ -67% |
| Prime Net | Managed Medicare | $614.20 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -33% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,148.24 | ↓ -25% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,165.52 | ↓ -23% |
| Humana | Medicare | $1,194.64 | ↓ -22% |
| Aetna | Medicare | $1,209.71 | ↓ -21% |
| Cigna | Medicare | $1,217.83 | ↓ -20% |
| United Healthcare | Medicare | $1,241.03 | ↓ -19% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,252.63 | ↓ -18% |
| Aetna | ACO | $1,633.00 | ↑ +7% |
| InterGroup | PPO | $1,649.70 | ↑ +8% |
| UPMC Health Plan | CHIP | $1,731.41 | ↑ +14% |
| Aetna | PEBTF ACO | $1,802.00 | ↑ +18% |
| Prime Net | FH-Medical Rental | $1,908.58 | ↑ +25% |
| Aetna | Commercial | $2,120.00 | ↑ +39% |
| Wellspan Population Health | Commercial | $2,157.30 | ↑ +42% |
| Highmark BCBS of PA | CHIP | $2,249.82 | ↑ +48% |
| Highmark BCBS of PA | Commercial | $2,249.82 | ↑ +48% |
| Capital Blue Cross | Commercial | $7,348.95 | ↑ +383% |
| Capital Blue Cross | CHIP | $7,348.95 | ↑ +383% |
| Keystone Health Plan | Commercial | $7,348.95 | ↑ +383% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Exc thrombosed hemorrhoid 46320 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,355.20 | $40.00 – $4,473.60 |
| UPMC Bedford | Everett | $3,584.40 | $42.00 – $5,376.60 |
| UPMC Carlisle | Carlisle | $1,522.80 | $50.80 – $2,157.30 |
| UPMC Cole | Coudersport | $1,266.00 | $33.54 – $2,325.85 |
| UPMC Hanover | Hanover | $1,522.80 | $50.80 – $1,802.21 |
| UPMC Jameson | New Castle | $2,635.80 | $44.00 – $1,517.55 |
| UPMC Kane | Kane | $1,707.60 | $44.00 – $892.42 |
| UPMC Lititz | Lititz | $1,522.80 | $50.80 – $1,811.94 |