Fracture assessment via dxa at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$170.40
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.
$284.00
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.
$48.61 with UPMC Work Partners vs $241.40 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $48.61 | ↓ -71% |
| Premier Comp Solutions | Worker's Comp | $48.61 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $56.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $56.80 | ↓ -67% |
| Prime Net | Managed Medicare | $68.73 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $69.43 | ↓ -59% |
| Highmark BCBS of PA | Commercial | $74.12 | ↓ -57% |
| Highmark BCBS of PA | CHIP | $74.12 | ↓ -57% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $85.74 | ↓ -50% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $87.03 | ↓ -49% |
| Humana | Medicare | $89.21 | ↓ -48% |
| Aetna | Medicare | $90.33 | ↓ -47% |
| Cigna | Medicare | $90.94 | ↓ -47% |
| United Healthcare | Medicare | $92.67 | ↓ -46% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $93.54 | ↓ -45% |
| Capital Blue Cross | CHIP | $128.04 | ↓ -25% |
| Keystone Health Plan | Commercial | $128.04 | ↓ -25% |
| Capital Blue Cross | Commercial | $128.04 | ↓ -25% |
| Geisinger | Medicaid/CHIP | $156.20 | ↓ -8% |
| Aetna | ACO | $167.28 | ↓ -2% |
| Aetna | PEBTF ACO | $177.50 | ↑ +4% |
| InterGroup | PPO | $184.60 | ↑ +8% |
| UPMC Health Plan | CHIP | $198.80 | ↑ +17% |
| Aetna | Commercial | $209.02 | ↑ +23% |
| Prime Net | FH-Medical Rental | $213.57 | ↑ +25% |
| Wellspan Population Health | Commercial | $241.40 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Fracture assessment via dxa at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $99.60 | $16.86 – $132.80 |
| UPMC Carlisle | Carlisle | $170.40 | $38.91 – $241.40 |
| UPMC Hanover | Hanover | $170.40 | $48.61 – $134.58 |
| UPMC Lititz | Lititz | $170.40 | $48.61 – $135.31 |
| UPMC Magee | Pittsburgh | $201.00 | $17.02 – $92.34 |
| UPMC Memorial | York | $170.40 | $13.74 – $162.98 |
| UPMC Muncy | Muncy | $561.60 | $46.45 – $67.84 |
| UPMC Passavant-McCandless | Pittsburgh | $316.20 | $17.02 – $92.34 |