Ins pq tunnld ip cath w/img at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$11,758.20
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.
$19,597.00
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.
$1,016.56 with United Healthcare Community Plan for Families vs $16,657.45 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $2,338.44 | ↓ -80% |
| Aetna | ACO | $2,684.00 | ↓ -77% |
| Aetna | PEBTF ACO | $2,963.00 | ↓ -75% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,436.76 | ↓ -71% |
| Aetna | Commercial | $3,485.00 | ↓ -70% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $3,488.48 | ↓ -70% |
| Humana | Medicare | $3,575.61 | ↓ -70% |
| Aetna | Medicare | $3,620.74 | ↓ -69% |
| Cigna | Medicare | $3,645.04 | ↓ -69% |
| United Healthcare | Medicare | $3,714.47 | ↓ -68% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,749.19 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $3,919.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $3,919.40 | ↓ -67% |
| Prime Net | Managed Medicare | $4,742.47 | ↓ -60% |
| Capital Blue Cross | CHIP | $7,348.95 | ↓ -37% |
| Keystone Health Plan | Commercial | $7,348.95 | ↓ -37% |
| Capital Blue Cross | Commercial | $7,348.95 | ↓ -37% |
| UPMC Health Plan | CHIP | $8,812.16 | ↓ -25% |
| Geisinger | Medicaid/CHIP | $10,778.35 | ↓ -8% |
| Highmark BCBS of PA | Commercial | $11,235.66 | ↓ -4% |
| Highmark BCBS of PA | CHIP | $11,235.66 | ↓ -4% |
| InterGroup | PPO | $12,738.05 | ↑ +8% |
| Prime Net | FH-Medical Rental | $14,736.94 | ↑ +25% |
| Wellspan Population Health | Commercial | $16,657.45 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ins pq tunnld ip cath w/img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $7,305.00 | $2,234.51 – $9,740.00 |
| UPMC Carlisle | Carlisle | $11,758.20 | $1,016.56 – $16,657.45 |
| UPMC Cole | Coudersport | $358.80 | $165.77 – $2,234.51 |
| UPMC East | Monroeville | $11,393.40 | $2,234.51 – $15,191.20 |
| UPMC Hamot | Erie | $5,742.00 | $2,234.51 – $4,893.48 |
| UPMC Northwest | Seneca | $8,416.80 | $2,234.51 – $3,633.70 |
| UPMC Hanover | Hanover | $11,758.20 | $1,016.56 – $8,812.16 |
| UPMC Jameson | New Castle | $4,069.20 | $892.40 – $4,542.13 |