Inj, brixadi, 7 days or less at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$533.40
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.
$889.00
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.
$177.80 with Keystone Health Plan vs $755.65 with Wellspan Population Health — 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $177.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $177.80 | ↓ -67% |
| Prime Net | Managed Medicare | $215.14 | ↓ -60% |
| Highmark BCBS of PA | Commercial | $285.20 | ↓ -47% |
| Highmark BCBS of PA | CHIP | $285.20 | ↓ -47% |
| Aetna | ACO | $303.15 | ↓ -43% |
| Aetna | PEBTF ACO | $321.82 | ↓ -40% |
| Aetna | Commercial | $378.71 | ↓ -29% |
| UPMC Work Partners | Workers Comp | $380.40 | ↓ -29% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $416.43 | ↓ -22% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $420.64 | ↓ -21% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $420.64 | ↓ -21% |
| Geisinger | Medicaid/CHIP | $420.64 | ↓ -21% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $422.70 | ↓ -21% |
| Humana | Medicare | $433.26 | ↓ -19% |
| Aetna | Medicare | $438.73 | ↓ -18% |
| Cigna | Medicare | $441.67 | ↓ -17% |
| United Healthcare | Medicare | $450.08 | ↓ -16% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $454.29 | ↓ -15% |
| Capital Blue Cross | Commercial | $497.42 | ↓ -7% |
| Capital Blue Cross | CHIP | $497.42 | ↓ -7% |
| UPMC Health Plan | CHIP | $517.38 | ↓ -3% |
| Keystone Health Plan | Commercial | $532.25 | ↓ -0% |
| InterGroup | PPO | $577.85 | ↑ +8% |
| Prime Net | FH-Medical Rental | $668.53 | ↑ +25% |
| Wellspan Population Health | Commercial | $755.65 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj, brixadi, 7 days or less at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $807.00 | $171.29 – $1,076.00 |
| UPMC Carlisle | Carlisle | $533.40 | $121.79 – $755.65 |
| UPMC Hamot | Erie | $814.80 | $265.59 – $929.05 |
| UPMC Northwest | Seneca | $814.80 | $265.59 – $454.29 |
| UPMC Hanover | Hanover | $533.40 | $416.43 – $673.02 |
| UPMC Jameson | New Castle | $814.80 | $265.59 – $525.80 |
| UPMC Lititz | Lititz | $533.40 | $416.43 – $673.02 |
| UPMC Magee | Pittsburgh | $1,086.00 | $265.59 – $580.03 |