Injection, siltuximab at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$3,603.00
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.
$6,005.00
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.
$113.80 with Highmark BCBS of PA vs $1,275.85 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 |
|---|---|---|---|
| Highmark BCBS of PA | Commercial | $113.80 | ↓ -97% |
| Highmark BCBS of PA | CHIP | $113.80 | ↓ -97% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $164.17 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $165.83 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $165.83 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $165.83 | ↓ -95% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $166.64 | ↓ -95% |
| Humana | Medicare | $170.80 | ↓ -95% |
| Aetna | Medicare | $172.96 | ↓ -95% |
| Cigna | Medicare | $174.12 | ↓ -95% |
| United Healthcare | Medicare | $177.44 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $179.10 | ↓ -95% |
| Keystone Health Plan | Commercial | $193.66 | ↓ -95% |
| Capital Blue Cross | Commercial | $196.10 | ↓ -95% |
| Capital Blue Cross | CHIP | $196.10 | ↓ -95% |
| UPMC Health Plan | CHIP | $203.97 | ↓ -94% |
| Capital Blue Cross | Medicare Advantage | $300.20 | ↓ -92% |
| Keystone Health Plan | Medicare Advantage | $300.20 | ↓ -92% |
| Aetna | ACO | $351.56 | ↓ -90% |
| Prime Net | Managed Medicare | $363.24 | ↓ -90% |
| Aetna | PEBTF ACO | $388.04 | ↓ -89% |
| Aetna | Commercial | $456.03 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $642.28 | ↓ -82% |
| InterGroup | PPO | $975.65 | ↓ -73% |
| Prime Net | FH-Medical Rental | $1,128.75 | ↓ -69% |
| Wellspan Population Health | Commercial | $1,275.85 | ↓ -65% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection, siltuximab at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $467.40 | $59.83 – $701.10 |
| UPMC Carlisle | Carlisle | $3,603.00 | $164.17 – $1,275.85 |
| UPMC Hanover | Hanover | $3,603.00 | $164.17 – $265.33 |
| UPMC Lititz | Lititz | $3,603.00 | $164.17 – $265.33 |
| UPMC Magee | Pittsburgh | $543.60 | $69.00 – $179.10 |
| UPMC McKeesport | Mckeesport | $627.60 | $69.00 – $182.41 |
| UPMC Memorial | York | $3,603.00 | $55.71 – $265.33 |
| UPMC Passavant-McCandless | Pittsburgh | $471.00 | $69.00 – $182.41 |