Ghs strapping shoulder - 29240 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$346.20
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.
$577.00
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.
$24.77 with AmeriHealth Caritas vs $1,471.05 with Capital Blue Cross — 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 | $24.77 | ↓ -93% |
| United Healthcare Community Plan for Families | PA Medicaid | $25.55 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $26.56 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $28.40 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $33.23 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $93.15 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $115.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $115.40 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $125.53 | ↓ -64% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $127.42 | ↓ -63% |
| Humana | Medicare | $130.60 | ↓ -62% |
| Aetna | Medicare | $132.25 | ↓ -62% |
| Cigna | Medicare | $133.14 | ↓ -62% |
| United Healthcare | Medicare | $135.68 | ↓ -61% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $136.94 | ↓ -60% |
| Prime Net | Managed Medicare | $139.63 | ↓ -60% |
| Aetna | ACO | $283.31 | ↓ -18% |
| Aetna | PEBTF ACO | $300.62 | ↓ -13% |
| UPMC Health Plan | CHIP | $301.34 | ↓ -13% |
| Aetna | Commercial | $353.70 | ↑ +2% |
| InterGroup | PPO | $375.05 | ↑ +8% |
| Highmark BCBS of PA | Commercial | $383.64 | ↑ +11% |
| Highmark BCBS of PA | CHIP | $383.64 | ↑ +11% |
| Prime Net | FH-Medical Rental | $433.90 | ↑ +25% |
| Wellspan Population Health | Commercial | $490.45 | ↑ +42% |
| Keystone Health Plan | Commercial | $1,471.05 | ↑ +325% |
| Capital Blue Cross | Commercial | $1,471.05 | ↑ +325% |
| Capital Blue Cross | CHIP | $1,471.05 | ↑ +325% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ghs strapping shoulder - 29240 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $346.20 | $24.77 – $490.45 |
| UPMC Cole | Coudersport | $220.20 | $20.48 – $106.40 |
| UPMC East | Monroeville | $531.00 | $21.45 – $708.00 |
| UPMC Hamot | Erie | $527.40 | $21.45 – $178.73 |
| UPMC Hanover | Hanover | $346.20 | $24.77 – $197.02 |
| UPMC Lititz | Lititz | $346.20 | $24.77 – $198.08 |
| UPMC Memorial | York | $346.20 | $24.77 – $197.76 |
| UPMC Muncy | Muncy | $471.00 | $21.45 – $97.82 |