Icd cobalt xt dr MRI is1 df1 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$36,540.60
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.
?
What you pay up front if you don't use insurance.
$60,901.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12,180.20 with Capital Blue Cross vs $89,867.43 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $12,180.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $12,180.20 | ↓ -67% |
| Prime Net | Managed Medicare | $14,738.04 | ↓ -60% |
| Aetna | Medicare | $15,286.15 | ↓ -58% |
| Aetna | ACO | $18,635.71 | ↓ -49% |
| Aetna | PEBTF ACO | $19,853.73 | ↓ -46% |
| Geisinger | Medicaid/CHIP | $20,097.33 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $20,298.30 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $23,142.38 | ↓ -37% |
| Aetna | Commercial | $23,325.08 | ↓ -36% |
| Capital Blue Cross | CHIP | $33,659.98 | ↓ -8% |
| Capital Blue Cross | Commercial | $33,659.98 | ↓ -8% |
| Keystone Health Plan | Commercial | $35,340.85 | ↓ -3% |
| InterGroup | PPO | $39,585.65 | ↑ +8% |
| Prime Net | FH-Medical Rental | $45,797.55 | ↑ +25% |
| Wellspan Population Health | Commercial | $51,765.85 | ↑ +42% |
| UPMC Health Plan | CHIP | $85,343.66 | ↑ +134% |
| Highmark BCBS of PA | CHIP | $89,867.43 | ↑ +146% |
| Highmark BCBS of PA | Commercial | $89,867.43 | ↑ +146% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Icd cobalt xt dr MRI is1 df1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $41,422.80 | $6,391.60 – $85,343.66 |
| UPMC Bedford | Everett | $17,601.60 | $5,573.84 – $85,343.66 |
| UPMC Cole | Coudersport | $28,351.80 | $8,978.07 – $37,802.40 |
| UPMC East | Monroeville | $139,505.40 | $6,262.78 – $85,343.66 |
| UPMC Hamot | Erie | $117,676.80 | $17,072.82 – $17,072.82 |
| UPMC Memorial | York | $36,540.60 | $5,000.00 – $85,343.66 |
| UPMC Mercy | Pittsburgh | $49,471.80 | $17,072.82 – $67,391.01 |
| UPMC Passavant-McCandless | Pittsburgh | $96,952.20 | $17,235.39 – $123,844.32 |