Excision olecranon bursa at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$2,271.60
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.
?
What you pay up front if you don't use insurance.
$3,786.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$238.12 with AmeriHealth Caritas vs $5,805.45 with Keystone Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $238.12 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $255.38 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $273.11 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $319.54 | ↓ -86% |
| Capital Blue Cross | Medicare Advantage | $757.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $757.20 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $801.25 | ↓ -65% |
| Prime Net | Managed Medicare | $916.21 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,002.15 | ↓ -56% |
| InterGroup | PPO | $2,460.90 | ↑ +8% |
| UPMC Health Plan | CHIP | $2,654.01 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,847.07 | ↑ +25% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,159.74 | ↑ +39% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $3,207.30 | ↑ +41% |
| Wellspan Population Health | Commercial | $3,218.10 | ↑ +42% |
| Humana | Medicare | $3,287.41 | ↑ +45% |
| Aetna | Medicare | $3,328.90 | ↑ +47% |
| Cigna | Medicare | $3,351.24 | ↑ +48% |
| United Healthcare | Medicare | $3,415.08 | ↑ +50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,446.99 | ↑ +52% |
| Highmark BCBS of PA | CHIP | $3,454.83 | ↑ +52% |
| Highmark BCBS of PA | Commercial | $3,454.83 | ↑ +52% |
| Aetna | ACO | $3,737.00 | ↑ +65% |
| Aetna | PEBTF ACO | $4,126.00 | ↑ +82% |
| Aetna | Commercial | $4,854.00 | ↑ +114% |
| Capital Blue Cross | CHIP | $5,805.45 | ↑ +156% |
| Capital Blue Cross | Commercial | $5,805.45 | ↑ +156% |
| Keystone Health Plan | Commercial | $5,805.45 | ↑ +156% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Excision olecranon bursa at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $633.00 | $196.88 – $1,192.92 |
| UPMC Somerset | Somerset | $2,271.60 | $206.25 – $3,093.35 |
| Uniontown Hospital | Uniontown | $3,760.50 | $205.80 – $6,587.02 |
| UPMC Altoona | Altoona | not published | $187.50 – $3,340.82 |
| UPMC Carlisle | Carlisle | not published | $238.12 – $4,966.18 |
| UPMC East | Monroeville | not published | $206.25 – $3,402.68 |
| UPMC Hanover | Hanover | not published | $238.12 – $4,959.33 |
| UPMC Lititz | Lititz | not published | $238.12 – $4,986.11 |