F-18 florbetapir less than or equal to 10 mci at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$12,351.00
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.
$20,585.00
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.
$2,172.67 with Highmark BCBS of PA vs $17,497.25 with Wellspan Population Health — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,172.67 | ↓ -82% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2,205.37 | ↓ -82% |
| Humana | Medicare | $2,260.46 | ↓ -82% |
| Aetna | Medicare | $2,288.99 | ↓ -81% |
| Cigna | Medicare | $2,304.35 | ↓ -81% |
| United Healthcare | Medicare | $2,348.24 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,370.19 | ↓ -81% |
| Highmark BCBS of PA | CHIP | $2,589.59 | ↓ -79% |
| Highmark BCBS of PA | Commercial | $2,589.59 | ↓ -79% |
| Capital Blue Cross | Medicare Advantage | $4,117.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $4,117.00 | ↓ -67% |
| Prime Net | Managed Medicare | $4,981.57 | ↓ -60% |
| Aetna | ACO | $7,019.48 | ↓ -43% |
| Aetna | PEBTF ACO | $7,451.77 | ↓ -40% |
| Aetna | Commercial | $8,769.21 | ↓ -29% |
| Geisinger | Medicaid/CHIP | $11,321.75 | ↓ -8% |
| Capital Blue Cross | CHIP | $11,377.33 | ↓ -8% |
| Capital Blue Cross | Commercial | $11,377.33 | ↓ -8% |
| Keystone Health Plan | Commercial | $11,945.48 | ↓ -3% |
| InterGroup | PPO | $13,380.25 | ↑ +8% |
| UPMC Health Plan | CHIP | $14,409.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $15,479.92 | ↑ +25% |
| Wellspan Population Health | Commercial | $17,497.25 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
F-18 florbetapir less than or equal to 10 mci at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $14,930.40 | $1,570.07 – $2,414.08 |
| UPMC Somerset | Somerset | $12,351.00 | $1,539.53 – $2,369.97 |
| UPMC Williamsport | Williamsport | $7,344.60 | $2,216.13 – $2,370.19 |