Giardia ag if at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$75.60
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.
$126.00
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.
$12.31 with AmeriHealth Caritas vs $118.15 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.31 | ↓ -84% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $13.47 | ↓ -82% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $13.68 | ↓ -82% |
| Humana | Medicare | $14.02 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $14.08 | ↓ -81% |
| Aetna | Medicare | $14.20 | ↓ -81% |
| Cigna | Medicare | $14.29 | ↓ -81% |
| United Healthcare | Medicare | $14.56 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $14.70 | ↓ -81% |
| United Healthcare Community Plan for Families | PA Medicaid | $16.13 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $16.77 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $17.93 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $20.98 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $25.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $25.20 | ↓ -67% |
| Prime Net | Managed Medicare | $30.49 | ↓ -60% |
| UPMC Health Plan | CHIP | $38.08 | ↓ -50% |
| Capital Blue Cross | CHIP | $64.38 | ↓ -15% |
| Keystone Health Plan | Commercial | $64.38 | ↓ -15% |
| Capital Blue Cross | Commercial | $64.38 | ↓ -15% |
| Aetna | ACO | $74.21 | ↓ -2% |
| Aetna | PEBTF ACO | $78.75 | ↑ +4% |
| InterGroup | PPO | $81.90 | ↑ +8% |
| Aetna | Commercial | $92.74 | ↑ +23% |
| Prime Net | FH-Medical Rental | $94.75 | ↑ +25% |
| Wellspan Population Health | Commercial | $107.10 | ↑ +42% |
| Highmark BCBS of PA | CHIP | $118.15 | ↑ +56% |
| Highmark BCBS of PA | Commercial | $118.15 | ↑ +56% |
Visitor-reported prices
Comments
Giardia ag if at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $75.60 | $12.31 – $107.10 |
| UPMC Hanover | Hanover | $75.60 | $12.31 – $21.78 |
| UPMC Lititz | Lititz | $75.60 | $12.31 – $21.78 |
| UPMC Memorial | York | $75.60 | $12.31 – $79.67 |
| UPMC Somerset | Somerset | $75.60 | $13.45 – $17.11 |