Hla class ii high defin qual at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,812.00
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.
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What you pay up front if you don't use insurance.
$3,020.00
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.
$121.04 with AmeriHealth Caritas vs $2,567.00 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 | $121.04 | ↓ -93% |
| United Healthcare Community Plan for Families | PA Medicaid | $158.56 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $164.86 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $176.31 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $206.28 | ↓ -89% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $322.54 | ↓ -82% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $327.40 | ↓ -82% |
| Humana | Medicare | $335.57 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $336.97 | ↓ -81% |
| Aetna | Medicare | $339.81 | ↓ -81% |
| Cigna | Medicare | $342.09 | ↓ -81% |
| United Healthcare | Medicare | $348.61 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $351.86 | ↓ -81% |
| Highmark BCBS of PA | Commercial | $515.70 | ↓ -72% |
| Highmark BCBS of PA | CHIP | $515.70 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $604.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $604.00 | ↓ -67% |
| Keystone Health Plan | Commercial | $605.73 | ↓ -67% |
| Capital Blue Cross | CHIP | $605.73 | ↓ -67% |
| Capital Blue Cross | Commercial | $605.73 | ↓ -67% |
| Prime Net | Managed Medicare | $730.84 | ↓ -60% |
| Aetna | ACO | $1,778.78 | ↓ -2% |
| Aetna | PEBTF ACO | $1,887.50 | ↑ +4% |
| InterGroup | PPO | $1,963.00 | ↑ +8% |
| Aetna | Commercial | $2,222.72 | ↑ +23% |
| Prime Net | FH-Medical Rental | $2,271.04 | ↑ +25% |
| UPMC Health Plan | CHIP | $2,305.35 | ↑ +27% |
| Wellspan Population Health | Commercial | $2,567.00 | ↑ +42% |
Visitor-reported prices
Comments
Hla class ii high defin qual at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $507.00 | $121.04 – $676.00 |
| UPMC Bedford | Everett | $838.20 | $117.55 – $1,257.30 |
| UPMC Carlisle | Carlisle | $1,812.00 | $121.04 – $2,567.00 |
| UPMC East | Monroeville | $520.20 | $121.04 – $693.60 |
| UPMC Hamot | Erie | $469.20 | $121.04 – $351.86 |
| UPMC Northwest | Seneca | $409.20 | $133.14 – $342.09 |
| UPMC Hanover | Hanover | $1,812.00 | $121.04 – $521.28 |
| UPMC Horizon-Greenville | Greenville | $541.20 | $121.04 – $351.86 |