Intro cath svc/ivc at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$2,426.40
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.
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What you pay up front if you don't use insurance.
$4,044.00
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.
$145.41 with AmeriHealth Caritas vs $6,734.26 with Highmark BCBS of PA — 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 | $145.41 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $155.95 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $166.78 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $195.13 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $531.26 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $801.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $801.20 | ↓ -67% |
| Prime Net | Managed Medicare | $969.45 | ↓ -60% |
| Aetna | Medicare | $1,005.51 | ↓ -59% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -58% |
| Aetna | ACO | $1,633.00 | ↓ -33% |
| Aetna | PEBTF ACO | $1,802.00 | ↓ -26% |
| Aetna | Commercial | $2,120.00 | ↓ -13% |
| Capital Blue Cross | Commercial | $2,214.12 | ↓ -9% |
| Capital Blue Cross | CHIP | $2,214.12 | ↓ -9% |
| Keystone Health Plan | Commercial | $2,324.68 | ↓ -4% |
| InterGroup | PPO | $2,603.90 | ↑ +7% |
| Prime Net | FH-Medical Rental | $3,012.51 | ↑ +24% |
| Wellspan Population Health | Commercial | $3,405.10 | ↑ +40% |
| UPMC Health Plan | CHIP | $5,167.51 | ↑ +113% |
| Highmark BCBS of PA | CHIP | $6,734.26 | ↑ +178% |
| Highmark BCBS of PA | Commercial | $6,734.26 | ↑ +178% |
Visitor-reported prices
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Intro cath svc/ivc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,670.20 | $114.50 – $4,893.60 |
| UPMC Carlisle | Carlisle | $2,403.60 | $145.41 – $9,539.00 |
| UPMC East | Monroeville | $6,828.00 | $125.95 – $9,104.00 |
| UPMC Hamot | Erie | $6,967.80 | $125.95 – $1,631.43 |
| UPMC Hanover | Hanover | $2,403.60 | $145.41 – $1,016.56 |
| UPMC Jameson | New Castle | $3,847.80 | $115.83 – $1,660.22 |
| UPMC Lititz | Lititz | $2,403.60 | $115.83 – $1,016.56 |
| UPMC Magee | Pittsburgh | $9,897.60 | $125.95 – $1,646.97 |