Ins lv lead exist pm/icd at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$15,540.60
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.
$25,901.00
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.
$961.47 with UPMC Work Partners vs $23,763.60 with Capital Blue Cross — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $961.47 | ↓ -94% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -93% |
| Aetna | ACO | $3,737.00 | ↓ -76% |
| Highmark BCBS of PA | Commercial | $3,827.65 | ↓ -75% |
| Highmark BCBS of PA | CHIP | $3,827.65 | ↓ -75% |
| Aetna | PEBTF ACO | $4,126.00 | ↓ -73% |
| Aetna | Commercial | $4,854.00 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $5,180.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $5,180.20 | ↓ -67% |
| Prime Net | Managed Medicare | $6,268.04 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $10,191.59 | ↓ -34% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $10,344.98 | ↓ -33% |
| Humana | Medicare | $10,603.38 | ↓ -32% |
| Aetna | Medicare | $10,737.21 | ↓ -31% |
| Cigna | Medicare | $10,809.27 | ↓ -30% |
| United Healthcare | Medicare | $11,015.16 | ↓ -29% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11,118.10 | ↓ -28% |
| Geisinger | Medicaid/CHIP | $14,245.55 | ↓ -8% |
| Keystone Health Plan | Commercial | $15,803.55 | ↑ +2% |
| InterGroup | PPO | $16,835.65 | ↑ +8% |
| UPMC Health Plan | CHIP | $18,130.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $19,477.55 | ↑ +25% |
| Wellspan Population Health | Commercial | $22,015.85 | ↑ +42% |
| Capital Blue Cross | Commercial | $23,763.60 | ↑ +53% |
| Capital Blue Cross | CHIP | $23,763.60 | ↑ +53% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,358.40 | $918.74 – $10,775.64 |
| UPMC Carlisle | Carlisle | $15,540.60 | $961.47 – $22,015.85 |
| UPMC East | Monroeville | $3,883.80 | $918.74 – $10,775.64 |
| UPMC Hamot | Erie | $12,843.00 | $918.74 – $14,511.47 |
| UPMC Hanover | Hanover | $15,540.60 | $961.47 – $15,996.05 |
| UPMC Lititz | Lititz | $15,540.60 | $961.47 – $16,082.45 |
| UPMC Memorial | York | $15,540.60 | $755.77 – $16,056.32 |
| UPMC Mercy | Pittsburgh | $28,245.60 | $927.28 – $10,975.18 |