Ins/rpl wireless pulm art sensor incl s&i at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$43,233.60
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.
$72,056.00
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.
$429.89 with UPMC Work Partners vs $61,247.60 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $429.89 | ↓ -99% |
| Highmark BCBS of PA | CHIP | $1,294.93 | ↓ -97% |
| Highmark BCBS of PA | Commercial | $1,294.93 | ↓ -97% |
| Aetna | ACO | $9,415.00 | ↓ -78% |
| Aetna | PEBTF ACO | $10,393.00 | ↓ -76% |
| Aetna | Commercial | $12,232.00 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $14,411.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $14,411.20 | ↓ -67% |
| Keystone Health Plan | Commercial | $15,803.55 | ↓ -63% |
| Prime Net | Managed Medicare | $17,437.55 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $21,819.56 | ↓ -50% |
| Capital Blue Cross | Commercial | $23,763.60 | ↓ -45% |
| Capital Blue Cross | CHIP | $23,763.60 | ↓ -45% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $27,684.74 | ↓ -36% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $28,101.41 | ↓ -35% |
| Humana | Medicare | $28,803.31 | ↓ -33% |
| Aetna | Medicare | $29,166.85 | ↓ -33% |
| Cigna | Medicare | $29,362.60 | ↓ -32% |
| United Healthcare | Medicare | $29,921.89 | ↓ -31% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $30,201.53 | ↓ -30% |
| Geisinger | Medicaid/CHIP | $39,630.80 | ↓ -8% |
| InterGroup | PPO | $46,836.40 | ↑ +8% |
| UPMC Health Plan | CHIP | $50,439.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $54,186.11 | ↑ +25% |
| Wellspan Population Health | Commercial | $61,247.60 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl wireless pulm art sensor incl s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $43,233.60 | $429.89 – $61,247.60 |
| UPMC Hanover | Hanover | $43,233.60 | $429.89 – $43,452.13 |
| UPMC Lititz | Lititz | $43,233.60 | $429.89 – $43,686.83 |
| UPMC Memorial | York | $43,233.60 | $168.80 – $43,615.89 |
| UPMC Passavant-McCandless | Pittsburgh | $8,658.00 | $209.08 – $29,813.30 |
| UPMC Presbyterian | Pittsburgh | $10,953.00 | $209.08 – $29,813.30 |
| UPMC Somerset | Somerset | $43,233.60 | $205.01 – $29,268.53 |
| WellSpan Ephrata Community Hospital | Ephrata | $58,797.60 | $21,321.25 – $28,428.33 |