I-123 iobenguane diag at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$12,202.20
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.
$20,337.00
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.
$2,054.06 with Highmark BCBS of PA vs $17,286.45 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,054.06 | ↓ -83% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2,084.98 | ↓ -83% |
| Humana | Medicare | $2,137.05 | ↓ -82% |
| Aetna | Medicare | $2,164.03 | ↓ -82% |
| Cigna | Medicare | $2,178.55 | ↓ -82% |
| United Healthcare | Medicare | $2,220.05 | ↓ -82% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,240.79 | ↓ -82% |
| Highmark BCBS of PA | CHIP | $2,977.82 | ↓ -76% |
| Highmark BCBS of PA | Commercial | $2,977.82 | ↓ -76% |
| Keystone Health Plan | Medicare Advantage | $4,067.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $4,067.40 | ↓ -67% |
| Prime Net | Managed Medicare | $4,921.55 | ↓ -60% |
| UPMC Health Plan | CHIP | $5,509.17 | ↓ -55% |
| Capital Blue Cross | Commercial | $6,347.71 | ↓ -48% |
| Capital Blue Cross | CHIP | $6,347.71 | ↓ -48% |
| Keystone Health Plan | Commercial | $6,665.10 | ↓ -45% |
| Aetna | ACO | $6,934.92 | ↓ -43% |
| Aetna | PEBTF ACO | $7,361.99 | ↓ -40% |
| Aetna | Commercial | $8,663.56 | ↓ -29% |
| Geisinger | Medicaid/CHIP | $11,185.35 | ↓ -8% |
| InterGroup | PPO | $13,219.05 | ↑ +8% |
| Prime Net | FH-Medical Rental | $15,293.42 | ↑ +25% |
| Wellspan Population Health | Commercial | $17,286.45 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
I-123 iobenguane diag at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $12,202.20 | $1,141.15 – $17,286.45 |
| UPMC East | Monroeville | $4,006.80 | $1,805.46 – $5,342.40 |
| UPMC Hanover | Hanover | $12,202.20 | $2,054.06 – $5,509.17 |
| UPMC Lititz | Lititz | $12,202.20 | $2,054.06 – $5,509.17 |
| UPMC Memorial | York | $12,202.20 | $1,457.64 – $6,665.10 |
| UPMC Muncy | Muncy | $7,549.20 | $1,887.30 – $11,323.80 |
| UPMC Presbyterian | Pittsburgh | $10,866.00 | $1,805.46 – $8,907.34 |
| UPMC Somerset | Somerset | $12,202.20 | $1,770.34 – $2,240.59 |