Laparoscopy splenectomy at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$2,479.20
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.
$4,132.00
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.
$1,016.56 with United Healthcare Community Plan for Families vs $11,127.90 with Capital Blue Cross — 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 | $1,016.56 | ↓ -59% |
| InterGroup | PPO | $3,512.20 | ↑ +42% |
| Aetna | ACO | $4,935.00 | ↑ +99% |
| UPMC Health Plan | CHIP | $5,022.58 | ↑ +103% |
| Aetna | PEBTF ACO | $5,448.00 | ↑ +120% |
| Aetna | Commercial | $6,409.00 | ↑ +159% |
| Highmark BCBS of PA | Commercial | $6,567.92 | ↑ +165% |
| Highmark BCBS of PA | CHIP | $6,567.92 | ↑ +165% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $10,138.90 | ↑ +309% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $10,291.49 | ↑ +315% |
| Humana | Medicare | $10,548.55 | ↑ +325% |
| Aetna | Medicare | $10,681.69 | ↑ +331% |
| Cigna | Medicare | $10,753.38 | ↑ +334% |
| United Healthcare | Medicare | $10,958.20 | ↑ +342% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11,060.61 | ↑ +346% |
| Keystone Health Plan | Commercial | $11,127.90 | ↑ +349% |
| Capital Blue Cross | Commercial | $11,127.90 | ↑ +349% |
| Capital Blue Cross | CHIP | $11,127.90 | ↑ +349% |
| Tricare | Tricare | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Laparoscopy splenectomy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Somerset | Somerset | $2,479.20 | $1,000.46 – $1,080.40 |
| WellSpan Gettysburg Hospital | Gettysburg | not published | $970.00 – $1,101.92 |