healthcosts.net
Kidney (Retroperitoneal) Ultrasound (complete) at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$394.20
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.
$657.00
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.
$56.80 with Capital Blue Cross vs $573.46 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $56.80 | ↓ -86% |
| Keystone Health Plan | Medicare Advantage | $56.80 | ↓ -86% |
| United Healthcare Community Plan for Families | PA Medicaid | $64.19 | ↓ -84% |
| Prime Net | Managed Medicare | $68.73 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $103.50 | ↓ -74% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $103.55 | ↓ -74% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $105.11 | ↓ -73% |
| Humana | Medicare | $107.74 | ↓ -73% |
| Aetna | Medicare | $109.10 | ↓ -72% |
| Cigna | Medicare | $109.83 | ↓ -72% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $111.00 | ↓ -72% |
| United Healthcare | Medicare | $111.92 | ↓ -72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $112.97 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $118.71 | ↓ -70% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $138.89 | ↓ -65% |
| Aetna | ACO | $167.28 | ↓ -58% |
| Aetna | PEBTF ACO | $177.50 | ↓ -55% |
| InterGroup | PPO | $184.60 | ↓ -53% |
| Aetna | Commercial | $209.02 | ↓ -47% |
| Prime Net | FH-Medical Rental | $213.57 | ↓ -46% |
| Wellspan Population Health | Commercial | $241.40 | ↓ -39% |
| Premier Comp Solutions | Worker's Comp | $276.09 | ↓ -30% |
| UPMC Work Partners | Workers Comp | $283.49 | ↓ -28% |
| UPMC Health Plan | CHIP | $418.71 | ↑ +6% |
| Capital Blue Cross | CHIP | $443.54 | ↑ +13% |
| Capital Blue Cross | Commercial | $443.54 | ↑ +13% |
| Keystone Health Plan | Commercial | $443.54 | ↑ +13% |
| Highmark BCBS of PA | CHIP | $573.46 | ↑ +45% |
| Highmark BCBS of PA | Commercial | $573.46 | ↑ +45% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Kidney (Retroperitoneal) Ultrasound (complete) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $1,200.60 | $89.65 – $1,600.80 |
| UPMC Passavant-McCandless | Pittsburgh | $1,469.40 | $89.65 – $2,081.65 |
| UPMC Hamot | Erie | $442.20 | $85.14 – $515.90 |
| UPMC Carlisle | Carlisle | $394.20 | $64.19 – $558.45 |
| UPMC Altoona | Altoona | $726.60 | $49.00 – $968.80 |
| UPMC Bedford | Everett | $808.80 | $36.58 – $1,213.20 |
| UPMC Cole | Coudersport | $405.00 | $85.58 – $540.00 |
| UPMC Hanover | Hanover | $394.20 | $64.19 – $571.59 |