Ghs moderate sedation ea addtl 15 min, other at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$235.80
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.
$393.00
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.
$58.81 with AmeriHealth Caritas vs $334.05 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $58.81 | ↓ -75% |
| United Healthcare Community Plan for Families | PA Medicaid | $60.67 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $63.07 | ↓ -73% |
| Geisinger | Medicaid/CHIP | $67.46 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $78.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $78.60 | ↓ -67% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $78.92 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $79.74 | ↓ -66% |
| Prime Net | Managed Medicare | $95.11 | ↓ -60% |
| Aetna | Medicare | $98.64 | ↓ -58% |
| Aetna | ACO | $192.96 | ↓ -18% |
| Aetna | PEBTF ACO | $204.75 | ↓ -13% |
| Capital Blue Cross | CHIP | $217.21 | ↓ -8% |
| Capital Blue Cross | Commercial | $217.21 | ↓ -8% |
| Keystone Health Plan | Commercial | $228.06 | ↓ -3% |
| Aetna | Commercial | $240.91 | ↑ +2% |
| InterGroup | PPO | $255.45 | ↑ +8% |
| Highmark BCBS of PA | Commercial | $259.38 | ↑ +10% |
| Highmark BCBS of PA | CHIP | $259.38 | ↑ +10% |
| UPMC Health Plan | CHIP | $275.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $295.54 | ↑ +25% |
| Wellspan Population Health | Commercial | $334.05 | ↑ +42% |
Visitor-reported prices
Comments
Ghs moderate sedation ea addtl 15 min, other at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hanover | Hanover | $235.80 | $58.81 – $79.74 |
| UPMC Presbyterian | Pittsburgh | $216.00 | $50.94 – $94.18 |
| UPMC Somerset | Somerset | $235.80 | $50.94 – $76.20 |
| WellSpan Chambersburg Hospital | Chambersburg | $128.80 | $57.89 – $115.92 |
| WellSpan Ephrata Community Hospital | Ephrata | $58.40 | $57.89 – $157.45 |
| Uniontown Hospital | Uniontown | $86.00 | $43.75 – $57.89 |
| WellSpan Waynesboro Hospital | Waynesboro | $128.80 | $48.86 – $65.76 |
| WellSpan Good Samaritan Hospital | Lebanon | $62.40 | $57.89 – $157.45 |