Infuse radioactive materials at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$624.60
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.
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What you pay up front if you don't use insurance.
$1,041.00
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.
$62.36 with United Healthcare Community Plan for Families vs $1,573.76 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $62.36 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $122.68 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $131.57 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $140.71 | ↓ -77% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $164.63 | ↓ -74% |
| Capital Blue Cross | Medicare Advantage | $208.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $208.20 | ↓ -67% |
| Prime Net | Managed Medicare | $251.92 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $256.10 | ↓ -59% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $259.96 | ↓ -58% |
| Humana | Medicare | $266.45 | ↓ -57% |
| Aetna | Medicare | $269.81 | ↓ -57% |
| Cigna | Medicare | $271.62 | ↓ -57% |
| United Healthcare | Medicare | $276.80 | ↓ -56% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $279.39 | ↓ -55% |
| Keystone Health Plan | Commercial | $435.53 | ↓ -30% |
| Capital Blue Cross | Commercial | $435.53 | ↓ -30% |
| Capital Blue Cross | CHIP | $435.53 | ↓ -30% |
| Aetna | ACO | $613.15 | ↓ -2% |
| Aetna | PEBTF ACO | $650.62 | ↑ +4% |
| InterGroup | PPO | $676.65 | ↑ +8% |
| Aetna | Commercial | $766.18 | ↑ +23% |
| Prime Net | FH-Medical Rental | $782.83 | ↑ +25% |
| UPMC Work Partners | Workers Comp | $811.48 | ↑ +30% |
| Wellspan Population Health | Commercial | $884.85 | ↑ +42% |
| UPMC Health Plan | CHIP | $1,139.71 | ↑ +82% |
| Highmark BCBS of PA | CHIP | $1,573.76 | ↑ +152% |
| Highmark BCBS of PA | Commercial | $1,573.76 | ↑ +152% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Infuse radioactive materials at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $624.60 | $62.36 – $884.85 |
| UPMC Lititz | Lititz | $624.60 | $62.36 – $790.54 |
| UPMC Magee | Pittsburgh | $1,480.20 | $106.26 – $811.77 |
| UPMC Presbyterian | Pittsburgh | $2,719.80 | $57.12 – $947.25 |
| UPMC Somerset | Somerset | $624.60 | $54.74 – $755.41 |
| Uniontown Hospital | Uniontown | $434.50 | $52.36 – $776.47 |