Ivp w/wo kub w/wo tomography at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$427.80
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.
?
What you pay up front if you don't use insurance.
$713.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$36.02 with United Healthcare Community Plan for Families vs $449.40 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $36.02 | ↓ -92% |
| Keystone Health Plan | Medicare Advantage | $36.80 | ↓ -91% |
| Capital Blue Cross | Medicare Advantage | $36.80 | ↓ -91% |
| Prime Net | Managed Medicare | $44.53 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $59.05 | ↓ -86% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $63.33 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $67.73 | ↓ -84% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $79.25 | ↓ -81% |
| Aetna | ACO | $108.38 | ↓ -75% |
| Aetna | PEBTF ACO | $115.00 | ↓ -73% |
| InterGroup | PPO | $119.60 | ↓ -72% |
| Aetna | Commercial | $135.42 | ↓ -68% |
| Prime Net | FH-Medical Rental | $138.37 | ↓ -68% |
| Wellspan Population Health | Commercial | $156.40 | ↓ -63% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $173.36 | ↓ -59% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $175.97 | ↓ -59% |
| Humana | Medicare | $180.36 | ↓ -58% |
| Aetna | Medicare | $182.64 | ↓ -57% |
| Cigna | Medicare | $183.87 | ↓ -57% |
| United Healthcare | Medicare | $187.37 | ↓ -56% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $189.12 | ↓ -56% |
| Premier Comp Solutions | Worker's Comp | $213.41 | ↓ -50% |
| UPMC Work Partners | Workers Comp | $220.75 | ↓ -48% |
| UPMC Health Plan | CHIP | $332.14 | ↓ -22% |
| Capital Blue Cross | Commercial | $400.71 | ↓ -6% |
| Capital Blue Cross | CHIP | $400.71 | ↓ -6% |
| Keystone Health Plan | Commercial | $400.71 | ↓ -6% |
| Highmark BCBS of PA | Commercial | $449.40 | ↑ +5% |
| Highmark BCBS of PA | CHIP | $449.40 | ↑ +5% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Ivp w/wo kub w/wo tomography at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,311.60 | $27.50 – $1,748.80 |
| UPMC Bedford | Everett | $288.60 | $48.83 – $432.90 |
| UPMC Carlisle | Carlisle | $427.80 | $36.02 – $606.05 |
| UPMC Cole | Coudersport | $475.80 | $48.83 – $634.40 |
| UPMC Hamot | Erie | $543.60 | $51.15 – $270.53 |
| UPMC Hanover | Hanover | $427.80 | $36.02 – $272.10 |
| UPMC Kane | Kane | $358.80 | $51.15 – $463.88 |
| UPMC Lititz | Lititz | $427.80 | $36.02 – $273.57 |