Inj crotalidae im f(ab')2 eq at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$792.00
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.
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What you pay up front if you don't use insurance.
$1,320.00
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.
$264.00 with Keystone Health Plan vs $1,414.29 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $264.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $264.00 | ↓ -67% |
| Prime Net | Managed Medicare | $319.44 | ↓ -60% |
| Aetna | ACO | $450.12 | ↓ -43% |
| Aetna | PEBTF ACO | $477.84 | ↓ -40% |
| Aetna | Commercial | $562.32 | ↓ -29% |
| UPMC Work Partners | Workers Comp | $564.83 | ↓ -29% |
| InterGroup | PPO | $858.00 | ↑ +8% |
| Prime Net | FH-Medical Rental | $992.64 | ↑ +25% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,034.70 | ↑ +31% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,045.15 | ↑ +32% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,045.15 | ↑ +32% |
| Geisinger | Medicaid/CHIP | $1,045.15 | ↑ +32% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,050.27 | ↑ +33% |
| Humana | Medicare | $1,076.50 | ↑ +36% |
| Aetna | Medicare | $1,090.09 | ↑ +38% |
| Cigna | Medicare | $1,097.41 | ↑ +39% |
| United Healthcare | Medicare | $1,118.31 | ↑ +41% |
| Wellspan Population Health | Commercial | $1,122.00 | ↑ +42% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,128.76 | ↑ +43% |
| Capital Blue Cross | CHIP | $1,235.94 | ↑ +56% |
| Capital Blue Cross | Commercial | $1,235.94 | ↑ +56% |
| Keystone Health Plan | Commercial | $1,275.41 | ↑ +61% |
| UPMC Health Plan | CHIP | $1,285.53 | ↑ +62% |
| Highmark BCBS of PA | Commercial | $1,414.29 | ↑ +79% |
| Highmark BCBS of PA | CHIP | $1,414.29 | ↑ +79% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj crotalidae im f(ab')2 eq at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,314.20 | $659.91 – $3,085.60 |
| UPMC Carlisle | Carlisle | $792.00 | $180.84 – $1,672.24 |
| UPMC Hanover | Hanover | $792.00 | $1,034.70 – $1,672.24 |
| UPMC Kane | Kane | $1,900.80 | $1,045.15 – $1,694.83 |
| UPMC Lititz | Lititz | $792.00 | $1,034.70 – $1,672.24 |
| UPMC Memorial | York | $792.00 | $692.29 – $1,672.24 |
| UPMC Presbyterian | Pittsburgh | $3,968.40 | $659.91 – $1,149.66 |
| UPMC Somerset | Somerset | $792.00 | $840.81 – $1,045.15 |