Ins mark abd/pel for right perq at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$4,079.40
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.
?
What you pay up front if you don't use insurance.
$6,799.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$213.46 with AmeriHealth Caritas vs $5,779.15 with Wellspan Population Health — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $213.46 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $215.36 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $230.32 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $269.47 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $773.82 | ↓ -81% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -75% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,332.47 | ↓ -67% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,352.53 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,359.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,359.80 | ↓ -67% |
| Humana | Medicare | $1,386.31 | ↓ -66% |
| Aetna | Medicare | $1,403.80 | ↓ -66% |
| Cigna | Medicare | $1,413.23 | ↓ -65% |
| United Healthcare | Medicare | $1,440.15 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,453.60 | ↓ -64% |
| Aetna | ACO | $1,633.00 | ↓ -60% |
| Prime Net | Managed Medicare | $1,645.36 | ↓ -60% |
| Aetna | PEBTF ACO | $1,802.00 | ↓ -56% |
| Aetna | Commercial | $2,120.00 | ↓ -48% |
| Highmark BCBS of PA | Commercial | $3,663.07 | ↓ -10% |
| Highmark BCBS of PA | CHIP | $3,663.07 | ↓ -10% |
| Capital Blue Cross | CHIP | $3,757.81 | ↓ -8% |
| Capital Blue Cross | Commercial | $3,757.81 | ↓ -8% |
| Keystone Health Plan | Commercial | $3,945.46 | ↓ -3% |
| InterGroup | PPO | $4,419.35 | ↑ +8% |
| UPMC Health Plan | CHIP | $4,759.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $5,112.85 | ↑ +25% |
| Wellspan Population Health | Commercial | $5,779.15 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ins mark abd/pel for right perq at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,079.40 | $200.81 – $5,779.15 |
| UPMC Hanover | Hanover | $4,079.40 | $200.81 – $2,091.36 |
| UPMC Lititz | Lititz | $4,079.40 | $200.81 – $2,102.66 |
| UPMC Memorial | York | $4,079.40 | $200.81 – $2,099.23 |
| UPMC Muncy | Muncy | $4,115.40 | $173.93 – $993.28 |
| UPMC Somerset | Somerset | $4,079.40 | $173.93 – $1,304.47 |
| UPMC Wellsboro | Wellsboro | $4,976.80 | $173.93 – $993.28 |
| WellSpan Ephrata Community Hospital | Ephrata | $2,096.00 | $197.65 – $2,312.57 |