Kidney imag w/bld flow multi at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,574.40
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.
$2,624.00
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.
$50.60 with Keystone Health Plan vs $1,308.86 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $50.60 | ↓ -97% |
| Capital Blue Cross | Medicare Advantage | $50.60 | ↓ -97% |
| Prime Net | Managed Medicare | $61.23 | ↓ -96% |
| Aetna | ACO | $149.02 | ↓ -91% |
| Aetna | PEBTF ACO | $158.12 | ↓ -90% |
| InterGroup | PPO | $164.45 | ↓ -90% |
| Aetna | Commercial | $186.21 | ↓ -88% |
| Prime Net | FH-Medical Rental | $190.26 | ↓ -88% |
| Wellspan Population Health | Commercial | $215.05 | ↓ -86% |
| United Healthcare Community Plan for Families | PA Medicaid | $243.19 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $302.89 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $324.84 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $347.40 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $406.45 | ↓ -74% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $524.20 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $524.45 | ↓ -67% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $532.08 | ↓ -66% |
| Humana | Medicare | $545.37 | ↓ -65% |
| Aetna | Medicare | $552.26 | ↓ -65% |
| Cigna | Medicare | $555.96 | ↓ -65% |
| United Healthcare | Medicare | $566.55 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $571.85 | ↓ -64% |
| UPMC Health Plan | CHIP | $771.06 | ↓ -51% |
| Highmark BCBS of PA | CHIP | $1,087.42 | ↓ -31% |
| Highmark BCBS of PA | Commercial | $1,087.42 | ↓ -31% |
| Capital Blue Cross | CHIP | $1,308.86 | ↓ -17% |
| Capital Blue Cross | Commercial | $1,308.86 | ↓ -17% |
| Keystone Health Plan | Commercial | $1,308.86 | ↓ -17% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
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Kidney imag w/bld flow multi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $927.60 | $185.64 – $1,236.80 |
| UPMC Carlisle | Carlisle | $1,574.40 | $34.66 – $823.87 |
| UPMC East | Monroeville | $2,274.60 | $249.69 – $3,032.80 |
| UPMC Hamot | Erie | $1,749.60 | $247.33 – $700.71 |
| UPMC Hanover | Hanover | $1,574.40 | $243.19 – $822.74 |
| UPMC Horizon-Greenville | Greenville | $933.00 | $262.35 – $554.23 |
| UPMC Lititz | Lititz | $1,574.40 | $243.19 – $827.18 |
| UPMC Magee | Pittsburgh | $1,094.40 | $249.69 – $554.23 |