G-esoph reflx tst w/electrod at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,109.40
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.
$1,849.00
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.
$369.80 with Keystone Health Plan vs $1,744.13 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $369.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $369.80 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $374.46 | ↓ -66% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $445.85 | ↓ -60% |
| Prime Net | Managed Medicare | $447.46 | ↓ -60% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $478.14 | ↓ -57% |
| Geisinger | Medicaid/CHIP | $511.35 | ↓ -54% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $516.72 | ↓ -53% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $524.50 | ↓ -53% |
| Humana | Medicare | $537.60 | ↓ -52% |
| Aetna | Medicare | $544.38 | ↓ -51% |
| Cigna | Medicare | $548.04 | ↓ -51% |
| United Healthcare | Medicare | $558.48 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $563.70 | ↓ -49% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $598.28 | ↓ -46% |
| UPMC Work Partners | Workers Comp | $840.01 | ↓ -24% |
| Aetna | ACO | $907.86 | ↓ -18% |
| UPMC Health Plan | CHIP | $927.25 | ↓ -16% |
| Aetna | PEBTF ACO | $963.33 | ↓ -13% |
| Capital Blue Cross | CHIP | $1,021.94 | ↓ -8% |
| Capital Blue Cross | Commercial | $1,021.94 | ↓ -8% |
| Keystone Health Plan | Commercial | $1,072.97 | ↓ -3% |
| Aetna | Commercial | $1,133.44 | ↑ +2% |
| InterGroup | PPO | $1,201.85 | ↑ +8% |
| Prime Net | FH-Medical Rental | $1,390.45 | ↑ +25% |
| Wellspan Population Health | Commercial | $1,571.65 | ↑ +42% |
| Highmark BCBS of PA | CHIP | $1,744.13 | ↑ +57% |
| Highmark BCBS of PA | Commercial | $1,744.13 | ↑ +57% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
G-esoph reflx tst w/electrod at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,027.40 | $278.95 – $2,703.20 |
| UPMC Carlisle | Carlisle | $1,109.40 | $253.31 – $1,571.65 |
| UPMC Hamot | Erie | $740.40 | $278.95 – $802.67 |
| UPMC Hanover | Hanover | $1,109.40 | $374.46 – $840.01 |
| UPMC Lititz | Lititz | $1,109.40 | $374.46 – $840.01 |
| UPMC Magee | Pittsburgh | $2,314.80 | $281.61 – $802.67 |
| UPMC McKeesport | Mckeesport | $1,628.40 | $281.61 – $802.67 |
| UPMC Memorial | York | $1,109.40 | $227.36 – $840.01 |