Intro long gi tube w/mult fluo at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$423.60
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.
$706.00
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.
$141.20 with Keystone Health Plan vs $642.84 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $141.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $141.20 | ↓ -67% |
| Prime Net | Managed Medicare | $170.85 | ↓ -60% |
| Aetna | Medicare | $177.21 | ↓ -58% |
| Premier Comp Solutions | Worker's Comp | $303.98 | ↓ -28% |
| UPMC Work Partners | Workers Comp | $308.49 | ↓ -27% |
| Geisinger | Medicaid/CHIP | $388.30 | ↓ -8% |
| Aetna | ACO | $415.83 | ↓ -2% |
| Aetna | PEBTF ACO | $441.25 | ↑ +4% |
| InterGroup | PPO | $458.90 | ↑ +8% |
| UPMC Health Plan | CHIP | $471.13 | ↑ +11% |
| Capital Blue Cross | CHIP | $500.61 | ↑ +18% |
| Capital Blue Cross | Commercial | $500.61 | ↑ +18% |
| Keystone Health Plan | Commercial | $500.61 | ↑ +18% |
| Aetna | Commercial | $519.62 | ↑ +23% |
| Prime Net | FH-Medical Rental | $530.91 | ↑ +25% |
| Wellspan Population Health | Commercial | $600.10 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $642.84 | ↑ +52% |
| Highmark BCBS of PA | CHIP | $642.84 | ↑ +52% |
Visitor-reported prices
Comments
Intro long gi tube w/mult fluo at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $900.00 | $146.21 – $1,200.00 |
| UPMC Carlisle | Carlisle | $423.60 | $96.72 – $600.10 |
| UPMC Hanover | Hanover | $423.60 | $308.49 – $471.13 |
| UPMC Jameson | New Castle | $329.40 | $89.84 – $294.78 |
| UPMC Lititz | Lititz | $423.60 | $89.84 – $471.13 |
| UPMC Magee | Pittsburgh | $981.00 | $98.82 – $375.56 |
| UPMC McKeesport | Mckeesport | $763.20 | $98.82 – $317.82 |
| UPMC Memorial | York | $423.60 | $89.84 – $637.23 |