Fine needle asp without image guide 10021 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,056.00
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.
$1,760.00
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.
$78.00 with Capital Blue Cross vs $2,120.00 with Aetna — 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $78.00 | ↓ -93% |
| Keystone Health Plan | Medicare Advantage | $78.00 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $79.04 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $84.77 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $90.66 | ↓ -91% |
| Prime Net | Managed Medicare | $94.38 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $106.07 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $171.04 | ↓ -84% |
| UPMC Health Plan | CHIP | $207.65 | ↓ -80% |
| InterGroup | PPO | $253.50 | ↓ -76% |
| Prime Net | FH-Medical Rental | $293.28 | ↓ -72% |
| Wellspan Population Health | Commercial | $331.50 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $389.08 | ↓ -63% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $394.94 | ↓ -63% |
| Humana | Medicare | $404.80 | ↓ -62% |
| Aetna | Medicare | $409.91 | ↓ -61% |
| Cigna | Medicare | $412.66 | ↓ -61% |
| United Healthcare | Medicare | $420.52 | ↓ -60% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $424.45 | ↓ -60% |
| Highmark BCBS of PA | Commercial | $965.39 | ↓ -9% |
| Highmark BCBS of PA | CHIP | $965.39 | ↓ -9% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -4% |
| Capital Blue Cross | Commercial | $1,471.05 | ↑ +39% |
| Capital Blue Cross | CHIP | $1,471.05 | ↑ +39% |
| Keystone Health Plan | Commercial | $1,471.05 | ↑ +39% |
| Aetna | ACO | $1,633.00 | ↑ +55% |
| Aetna | PEBTF ACO | $1,802.00 | ↑ +71% |
| Aetna | Commercial | $2,120.00 | ↑ +101% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Fine needle asp without image guide 10021 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $501.00 | $62.24 – $668.00 |
| UPMC Bedford | Everett | $1,452.60 | $65.35 – $2,178.90 |
| UPMC Carlisle | Carlisle | $1,056.00 | $79.04 – $1,496.00 |
| UPMC Cole | Coudersport | $144.60 | $30.21 – $2,325.85 |
| UPMC East | Monroeville | $978.60 | $68.46 – $1,304.80 |
| UPMC Hamot | Erie | $1,086.00 | $68.46 – $554.00 |
| UPMC Northwest | Seneca | $478.80 | $68.46 – $399.94 |
| UPMC Hanover | Hanover | $1,056.00 | $79.04 – $1,016.56 |