Lead acuity x4 spiral l 86cm at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$9,999.00
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.
$16,665.00
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.
$3,333.00 with Capital Blue Cross vs $14,165.25 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $3,333.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $3,333.00 | ↓ -67% |
| Prime Net | Managed Medicare | $4,032.93 | ↓ -60% |
| Aetna | Medicare | $4,182.91 | ↓ -58% |
| Aetna | ACO | $5,099.49 | ↓ -49% |
| Aetna | PEBTF ACO | $5,432.79 | ↓ -46% |
| Geisinger | Medicaid/CHIP | $5,499.45 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5,554.44 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $6,332.70 | ↓ -37% |
| Aetna | Commercial | $6,382.69 | ↓ -36% |
| Capital Blue Cross | Commercial | $9,210.75 | ↓ -8% |
| Capital Blue Cross | CHIP | $9,210.75 | ↓ -8% |
| Keystone Health Plan | Commercial | $9,670.70 | ↓ -3% |
| InterGroup | PPO | $10,832.25 | ↑ +8% |
| UPMC Health Plan | CHIP | $12,016.70 | ↑ +20% |
| Highmark BCBS of PA | CHIP | $12,224.31 | ↑ +22% |
| Highmark BCBS of PA | Commercial | $12,224.31 | ↑ +22% |
| Prime Net | FH-Medical Rental | $12,532.08 | ↑ +25% |
| Wellspan Population Health | Commercial | $14,165.25 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Lead acuity x4 spiral l 86cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,226.60 | $2,322.35 – $12,016.70 |
| UPMC East | Monroeville | $11,235.60 | $2,344.46 – $14,980.80 |
| UPMC Hamot | Erie | $11,832.00 | $2,322.35 – $2,322.35 |
| UPMC Memorial | York | $9,999.00 | $98.84 – $12,016.70 |
| UPMC Mercy | Pittsburgh | $7,381.80 | $2,322.35 – $9,488.90 |
| UPMC Passavant-McCandless | Pittsburgh | $13,576.80 | $2,344.46 – $17,437.74 |
| UPMC Presbyterian | Pittsburgh | $27,605.40 | $2,344.46 – $19,428.86 |
| UPMC Somerset | Somerset | $9,999.00 | $2,298.86 – $7,197.58 |