Immune complex assay at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$88.80
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.
$148.00
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.
$24.13 with Highmark BCBS of PA vs $188.30 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $24.13 | ↓ -73% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $24.49 | ↓ -72% |
| Humana | Medicare | $25.10 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $25.21 | ↓ -72% |
| Aetna | Medicare | $25.42 | ↓ -71% |
| Cigna | Medicare | $25.59 | ↓ -71% |
| United Healthcare | Medicare | $26.08 | ↓ -71% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $26.32 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $29.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $29.60 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $30.00 | ↓ -66% |
| Prime Net | Managed Medicare | $35.82 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $39.30 | ↓ -56% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $40.86 | ↓ -54% |
| Geisinger | Medicaid/CHIP | $43.70 | ↓ -51% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $51.13 | ↓ -42% |
| Aetna | ACO | $87.17 | ↓ -2% |
| Aetna | PEBTF ACO | $92.50 | ↑ +4% |
| InterGroup | PPO | $96.20 | ↑ +8% |
| Aetna | Commercial | $108.93 | ↑ +23% |
| Prime Net | FH-Medical Rental | $111.30 | ↑ +25% |
| Wellspan Population Health | Commercial | $125.80 | ↑ +42% |
| UPMC Health Plan | CHIP | $127.79 | ↑ +44% |
| Capital Blue Cross | CHIP | $142.48 | ↑ +60% |
| Capital Blue Cross | Commercial | $142.48 | ↑ +60% |
| Keystone Health Plan | Commercial | $142.48 | ↑ +60% |
| Highmark BCBS of PA | CHIP | $188.30 | ↑ +112% |
| Highmark BCBS of PA | Commercial | $188.30 | ↑ +112% |
Visitor-reported prices
Comments
Immune complex assay at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $243.00 | $24.09 – $324.00 |
| UPMC Bedford | Everett | $338.40 | $8.79 – $507.60 |
| UPMC Carlisle | Carlisle | $88.80 | $17.75 – $125.80 |
| UPMC Cole | Coudersport | $178.20 | $15.84 – $237.60 |
| UPMC East | Monroeville | $306.00 | $24.09 – $408.00 |
| UPMC Hamot | Erie | $274.80 | $24.09 – $47.10 |
| UPMC Northwest | Seneca | $289.20 | $22.10 – $34.50 |
| UPMC Hanover | Hanover | $88.80 | $17.75 – $40.86 |