Insertion catheter bladder non indwelling at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$558.60
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.
$931.00
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.
$32.32 with AmeriHealth Caritas vs $2,120.00 with Aetna — 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 | $32.32 | ↓ -94% |
| United Healthcare Community Plan for Families | PA Medicaid | $33.34 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $34.66 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $37.07 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $43.37 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $112.24 | ↓ -80% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $125.53 | ↓ -78% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $127.42 | ↓ -77% |
| Humana | Medicare | $130.60 | ↓ -77% |
| Aetna | Medicare | $132.25 | ↓ -76% |
| Cigna | Medicare | $133.14 | ↓ -76% |
| United Healthcare | Medicare | $135.68 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $136.94 | ↓ -75% |
| Keystone Health Plan | Medicare Advantage | $186.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $186.20 | ↓ -67% |
| Prime Net | Managed Medicare | $225.30 | ↓ -60% |
| UPMC Health Plan | CHIP | $246.40 | ↓ -56% |
| Capital Blue Cross | Commercial | $316.00 | ↓ -43% |
| Capital Blue Cross | CHIP | $316.00 | ↓ -43% |
| Keystone Health Plan | Commercial | $540.26 | ↓ -3% |
| Highmark BCBS of PA | Commercial | $575.61 | ↑ +3% |
| Highmark BCBS of PA | CHIP | $575.61 | ↑ +3% |
| InterGroup | PPO | $605.15 | ↑ +8% |
| Prime Net | FH-Medical Rental | $700.11 | ↑ +25% |
| Wellspan Population Health | Commercial | $791.35 | ↑ +42% |
| Aetna | ACO | $1,633.00 | ↑ +192% |
| Aetna | PEBTF ACO | $1,802.00 | ↑ +223% |
| Aetna | Commercial | $2,120.00 | ↑ +280% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Insertion catheter bladder non indwelling at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $279.00 | $25.45 – $354.40 |
| UPMC Bedford | Everett | $318.00 | $26.72 – $477.00 |
| UPMC Carlisle | Carlisle | $558.60 | $32.32 – $791.35 |
| UPMC Cole | Coudersport | $478.20 | $23.28 – $107.25 |
| UPMC East | Monroeville | $585.00 | $28.00 – $780.00 |
| UPMC Hamot | Erie | $664.20 | $28.00 – $178.73 |
| UPMC Northwest | Seneca | $297.00 | $28.00 – $129.03 |
| UPMC Hanover | Hanover | $558.60 | $32.32 – $197.02 |