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Lower Back (Lumbar Spine) CT scan (without contrast) at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$876.00
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.
$1,460.00
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.
$103.55 with Highmark BCBS of PA vs $1,420.12 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $103.55 | ↓ -88% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $105.11 | ↓ -88% |
| Humana | Medicare | $107.74 | ↓ -88% |
| Aetna | Medicare | $109.10 | ↓ -88% |
| Cigna | Medicare | $109.83 | ↓ -87% |
| United Healthcare | Medicare | $111.92 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $112.97 | ↓ -87% |
| United Healthcare Community Plan for Families | PA Medicaid | $115.41 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $176.01 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $188.76 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $201.87 | ↓ -77% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $236.19 | ↓ -73% |
| Premier Comp Solutions | Worker's Comp | $280.00 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $292.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $292.00 | ↓ -67% |
| Prime Net | Managed Medicare | $353.32 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $681.09 | ↓ -22% |
| Aetna | ACO | $859.94 | ↓ -2% |
| Aetna | PEBTF ACO | $912.50 | ↑ +4% |
| Capital Blue Cross | CHIP | $931.36 | ↑ +6% |
| Capital Blue Cross | Commercial | $931.36 | ↑ +6% |
| Keystone Health Plan | Commercial | $931.36 | ↑ +6% |
| InterGroup | PPO | $949.00 | ↑ +8% |
| UPMC Health Plan | CHIP | $1,029.34 | ↑ +18% |
| Aetna | Commercial | $1,074.56 | ↑ +23% |
| Prime Net | FH-Medical Rental | $1,097.92 | ↑ +25% |
| Wellspan Population Health | Commercial | $1,241.00 | ↑ +42% |
| Highmark BCBS of PA | CHIP | $1,420.12 | ↑ +62% |
| Highmark BCBS of PA | Commercial | $1,420.12 | ↑ +62% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
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Lower Back (Lumbar Spine) CT scan (without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $1,863.00 | $101.65 – $2,484.00 |
| UPMC Passavant-McCandless | Pittsburgh | $1,795.80 | $94.21 – $2,544.05 |
| UPMC Hamot | Erie | $1,906.80 | $115.76 – $2,224.60 |
| UPMC Carlisle | Carlisle | $876.00 | $100.71 – $1,241.00 |
| UPMC Altoona | Altoona | $1,405.80 | $88.10 – $1,874.40 |
| UPMC Bedford | Everett | $847.80 | $36.58 – $1,271.70 |
| UPMC Cole | Coudersport | $771.60 | $145.52 – $1,028.80 |
| UPMC Hanover | Hanover | $876.00 | $100.57 – $1,270.20 |