Ghs moderate sedation < 5 yr, 30 min at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$759.00
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.
?
What you pay up front if you don't use insurance.
$1,265.00
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.
$24.16 with AmeriHealth Caritas vs $1,075.25 with Wellspan Population Health — 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 | $24.16 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $24.92 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $25.91 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $27.70 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $32.41 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $102.38 | ↓ -87% |
| Keystone Health Plan | Medicare Advantage | $253.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $253.00 | ↓ -67% |
| Prime Net | Managed Medicare | $306.13 | ↓ -60% |
| Aetna | Medicare | $317.51 | ↓ -58% |
| Aetna | ACO | $621.12 | ↓ -18% |
| Aetna | PEBTF ACO | $659.07 | ↓ -13% |
| Capital Blue Cross | Commercial | $699.17 | ↓ -8% |
| Capital Blue Cross | CHIP | $699.17 | ↓ -8% |
| Keystone Health Plan | Commercial | $734.08 | ↓ -3% |
| Aetna | Commercial | $775.45 | ↑ +2% |
| InterGroup | PPO | $822.25 | ↑ +8% |
| Highmark BCBS of PA | Commercial | $834.90 | ↑ +10% |
| Highmark BCBS of PA | CHIP | $834.90 | ↑ +10% |
| UPMC Health Plan | CHIP | $885.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $951.28 | ↑ +25% |
| Wellspan Population Health | Commercial | $1,075.25 | ↑ +42% |
Visitor-reported prices
Comments
Ghs moderate sedation < 5 yr, 30 min at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $223.20 | $19.02 – $297.60 |
| UPMC Cole | Coudersport | $35.40 | $16.35 – $97.83 |
| UPMC East | Monroeville | $377.40 | $20.92 – $503.20 |
| UPMC Hamot | Erie | $438.00 | $20.92 – $97.83 |
| UPMC Hanover | Hanover | $759.00 | $24.16 – $102.38 |
| UPMC Horizon-Greenville | Greenville | $159.00 | $19.97 – $97.83 |
| UPMC Mercy | Pittsburgh | $484.80 | $20.92 – $110.48 |
| UPMC Muncy | Muncy | $147.00 | $20.92 – $104.65 |