healthcosts.net
Knee MRI (with contrast) at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$2,713.80
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.
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What you pay up front if you don't use insurance.
$4,523.00
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.
$403.15 with United Healthcare Community Plan for Families vs $3,844.55 with Wellspan Population Health — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $403.15 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $486.41 | ↓ -82% |
| Premier Comp Solutions | Worker's Comp | $500.00 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $521.65 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $557.88 | ↓ -79% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $652.71 | ↓ -76% |
| Capital Blue Cross | Medicare Advantage | $904.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $904.60 | ↓ -67% |
| Prime Net | Managed Medicare | $1,094.57 | ↓ -60% |
| Aetna | Medicare | $1,135.27 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $1,161.43 | ↓ -57% |
| UPMC Health Plan | CHIP | $1,278.59 | ↓ -53% |
| Capital Blue Cross | CHIP | $2,041.71 | ↓ -25% |
| Capital Blue Cross | Commercial | $2,041.71 | ↓ -25% |
| Keystone Health Plan | Commercial | $2,041.71 | ↓ -25% |
| Highmark BCBS of PA | CHIP | $2,373.10 | ↓ -13% |
| Highmark BCBS of PA | Commercial | $2,373.10 | ↓ -13% |
| Aetna | ACO | $2,664.05 | ↓ -2% |
| Aetna | PEBTF ACO | $2,826.88 | ↑ +4% |
| InterGroup | PPO | $2,939.95 | ↑ +8% |
| Aetna | Commercial | $3,328.93 | ↑ +23% |
| Prime Net | FH-Medical Rental | $3,401.30 | ↑ +25% |
| Wellspan Population Health | Commercial | $3,844.55 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Knee MRI (with contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $4,621.20 | $354.83 – $6,546.70 |
| UPMC East | Monroeville | $5,074.20 | $351.73 – $6,765.60 |
| UPMC Hamot | Erie | $1,948.80 | $201.09 – $2,273.60 |
| UPMC Jameson | New Castle | $3,019.80 | $327.85 – $4,178.24 |
| UPMC Carlisle | Carlisle | $2,713.80 | $403.15 – $3,844.55 |
| UPMC Bedford | Everett | $1,705.20 | $271.77 – $2,557.80 |
| UPMC Altoona | Altoona | $2,119.20 | $425.00 – $2,825.60 |
| UPMC Cole | Coudersport | $1,384.20 | $379.08 – $1,845.60 |