In-111 pentetreotide at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$18,255.00
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.
?
What you pay up front if you don't use insurance.
$30,425.00
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.
$1,895.46 with Highmark BCBS of PA vs $25,861.25 with Wellspan Population Health — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,895.46 | ↓ -90% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,923.99 | ↓ -89% |
| Humana | Medicare | $1,972.05 | ↓ -89% |
| Aetna | Medicare | $1,996.94 | ↓ -89% |
| Cigna | Medicare | $2,010.34 | ↓ -89% |
| United Healthcare | Medicare | $2,048.63 | ↓ -89% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,067.78 | ↓ -89% |
| UPMC Health Plan | CHIP | $4,692.07 | ↓ -74% |
| Keystone Health Plan | Medicare Advantage | $6,085.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $6,085.00 | ↓ -67% |
| Prime Net | Managed Medicare | $7,362.85 | ↓ -60% |
| Highmark BCBS of PA | CHIP | $8,820.75 | ↓ -52% |
| Highmark BCBS of PA | Commercial | $8,820.75 | ↓ -52% |
| Aetna | ACO | $10,374.92 | ↓ -43% |
| Aetna | PEBTF ACO | $11,013.85 | ↓ -40% |
| Aetna | Commercial | $12,961.05 | ↓ -29% |
| Geisinger | Medicaid/CHIP | $16,733.75 | ↓ -8% |
| Capital Blue Cross | Commercial | $16,815.90 | ↓ -8% |
| Capital Blue Cross | CHIP | $16,815.90 | ↓ -8% |
| Keystone Health Plan | Commercial | $17,655.63 | ↓ -3% |
| InterGroup | PPO | $19,776.25 | ↑ +8% |
| Prime Net | FH-Medical Rental | $22,879.60 | ↑ +25% |
| Wellspan Population Health | Commercial | $25,861.25 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
In-111 pentetreotide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $18,255.00 | $1,053.04 – $25,861.25 |
| UPMC Hanover | Hanover | $18,255.00 | $1,895.46 – $4,692.07 |
| UPMC Jameson | New Castle | $265.20 | $1,914.61 – $5,391.06 |
| UPMC Lititz | Lititz | $18,255.00 | $1,895.46 – $4,692.07 |
| UPMC Magee | Pittsburgh | $12,179.40 | $1,791.88 – $5,348.02 |
| UPMC Memorial | York | $18,255.00 | $1,996.94 – $4,692.07 |
| UPMC Muncy | Muncy | $3,477.00 | $869.25 – $5,215.50 |
| UPMC Passavant-McCandless | Pittsburgh | $11,244.60 | $1,779.25 – $5,348.02 |