Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$48,933.60
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.
$81,556.00
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 $107,274.30 with Keystone Health Plan — 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 | ↓ -98% |
| UPMC Health Plan | CHIP | $3,605.28 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $4,050.57 | ↓ -92% |
| Aetna | ACO | $5,180.00 | ↓ -89% |
| Aetna | PEBTF ACO | $5,718.00 | ↓ -88% |
| Highmark BCBS of PA | CHIP | $6,553.26 | ↓ -87% |
| Highmark BCBS of PA | Commercial | $6,553.26 | ↓ -87% |
| Aetna | Commercial | $6,727.00 | ↓ -86% |
| Capital Blue Cross | Medicare Advantage | $16,311.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $16,311.20 | ↓ -67% |
| Prime Net | Managed Medicare | $19,736.55 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $31,222.96 | ↓ -36% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $31,692.88 | ↓ -35% |
| Humana | Medicare | $32,484.49 | ↓ -34% |
| Aetna | Medicare | $32,894.49 | ↓ -33% |
| Cigna | Medicare | $33,115.26 | ↓ -32% |
| United Healthcare | Medicare | $33,746.02 | ↓ -31% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $34,061.41 | ↓ -30% |
| Geisinger | Medicaid/CHIP | $44,855.80 | ↓ -8% |
| InterGroup | PPO | $53,011.40 | ↑ +8% |
| Prime Net | FH-Medical Rental | $61,330.11 | ↑ +25% |
| Wellspan Population Health | Commercial | $69,322.60 | ↑ +42% |
| Capital Blue Cross | Commercial | $107,274.30 | ↑ +119% |
| Capital Blue Cross | CHIP | $107,274.30 | ↑ +119% |
| Keystone Health Plan | Commercial | $107,274.30 | ↑ +119% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
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Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,433.20 | $1,587.58 – $33,012.22 |
| UPMC Carlisle | Carlisle | $48,933.60 | $1,016.56 – $69,322.60 |
| UPMC East | Monroeville | $73,004.40 | $1,602.70 – $97,339.20 |
| UPMC Hamot | Erie | $39,445.80 | $1,587.58 – $44,457.34 |
| UPMC Hanover | Hanover | $48,933.60 | $1,016.56 – $49,005.49 |
| UPMC Lititz | Lititz | $48,933.60 | $1,016.56 – $49,270.19 |
| UPMC Memorial | York | $48,933.60 | $1,016.56 – $49,190.16 |
| UPMC Mercy | Pittsburgh | $41,292.60 | $1,587.58 – $33,623.56 |