Icatibant injection at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,016.40
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.
$1,694.00
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.
$86.60 with Capital Blue Cross vs $402.39 with Keystone Health Plan — 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $86.60 | ↓ -91% |
| Keystone Health Plan | Medicare Advantage | $86.60 | ↓ -91% |
| Prime Net | Managed Medicare | $104.79 | ↓ -90% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $129.09 | ↓ -87% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $131.03 | ↓ -87% |
| Humana | Medicare | $134.30 | ↓ -87% |
| Aetna | Medicare | $136.00 | ↓ -87% |
| Cigna | Medicare | $136.91 | ↓ -87% |
| United Healthcare | Medicare | $139.52 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $140.82 | ↓ -86% |
| Aetna | ACO | $147.65 | ↓ -85% |
| Aetna | PEBTF ACO | $156.75 | ↓ -85% |
| Aetna | Commercial | $184.46 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $185.28 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $238.15 | ↓ -77% |
| InterGroup | PPO | $281.45 | ↓ -72% |
| UPMC Health Plan | CHIP | $303.10 | ↓ -70% |
| Prime Net | FH-Medical Rental | $325.62 | ↓ -68% |
| Highmark BCBS of PA | Commercial | $366.85 | ↓ -64% |
| Highmark BCBS of PA | CHIP | $366.85 | ↓ -64% |
| Wellspan Population Health | Commercial | $368.05 | ↓ -64% |
| Capital Blue Cross | CHIP | $383.23 | ↓ -62% |
| Capital Blue Cross | Commercial | $383.23 | ↓ -62% |
| Keystone Health Plan | Commercial | $402.39 | ↓ -60% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Icatibant injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $23,826.60 | $132.97 – $1,058.40 |
| UPMC Bedford | Everett | $25,465.20 | $47.04 – $1,271.70 |
| UPMC Carlisle | Carlisle | $1,016.40 | $59.32 – $368.05 |
| UPMC East | Monroeville | $25,465.20 | $130.74 – $1,130.40 |
| UPMC Hamot | Erie | $28,571.40 | $106.24 – $140.82 |
| UPMC Hanover | Hanover | $1,016.40 | $129.09 – $208.62 |
| UPMC Horizon-Greenville | Greenville | $1,130.40 | $116.74 – $244.68 |
| UPMC Jameson | New Castle | $25,465.20 | $130.39 – $224.21 |