Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$522.00
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.
$870.00
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.
$39.40 with AmeriHealth Caritas vs $549.95 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $39.40 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $40.64 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $42.25 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $45.18 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $52.86 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $83.71 | ↓ -84% |
| UPMC Health Plan | CHIP | $118.61 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $129.40 | ↓ -75% |
| Capital Blue Cross | Medicare Advantage | $129.40 | ↓ -75% |
| Prime Net | Managed Medicare | $156.57 | ↓ -70% |
| Highmark BCBS of PA | Commercial | $162.43 | ↓ -69% |
| Highmark BCBS of PA | CHIP | $162.43 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $205.18 | ↓ -61% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $208.27 | ↓ -60% |
| Humana | Medicare | $213.47 | ↓ -59% |
| Aetna | Medicare | $216.16 | ↓ -59% |
| Cigna | Medicare | $217.61 | ↓ -58% |
| United Healthcare | Medicare | $221.76 | ↓ -58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $223.83 | ↓ -57% |
| Aetna | ACO | $317.68 | ↓ -39% |
| Aetna | PEBTF ACO | $337.09 | ↓ -35% |
| Capital Blue Cross | Commercial | $357.60 | ↓ -31% |
| Capital Blue Cross | CHIP | $357.60 | ↓ -31% |
| Keystone Health Plan | Commercial | $375.45 | ↓ -28% |
| Aetna | Commercial | $396.61 | ↓ -24% |
| InterGroup | PPO | $420.55 | ↓ -19% |
| Prime Net | FH-Medical Rental | $486.54 | ↓ -7% |
| Wellspan Population Health | Commercial | $549.95 | ↑ +5% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $166.80 | $31.02 – $222.40 |
| UPMC Bedford | Everett | $235.20 | $32.57 – $352.80 |
| UPMC Carlisle | Carlisle | $522.00 | $39.40 – $739.50 |
| UPMC Cole | Coudersport | $226.20 | $32.57 – $133.60 |
| UPMC East | Monroeville | $557.40 | $34.12 – $743.20 |
| UPMC Hamot | Erie | $158.40 | $34.12 – $250.38 |
| UPMC Northwest | Seneca | $306.00 | $34.12 – $210.91 |
| UPMC Hanover | Hanover | $522.00 | $39.40 – $322.03 |