Lung function test (mbc/mvv) at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$155.40
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.
$259.00
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.
$6.20 with Capital Blue Cross vs $114.59 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 | $6.20 | ↓ -96% |
| Keystone Health Plan | Medicare Advantage | $6.20 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $7.07 | ↓ -95% |
| Prime Net | Managed Medicare | $7.50 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.43 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $12.26 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $13.11 | ↓ -92% |
| Aetna | ACO | $15.22 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $15.34 | ↓ -90% |
| Aetna | PEBTF ACO | $16.15 | ↓ -90% |
| Capital Blue Cross | Commercial | $17.13 | ↓ -89% |
| Capital Blue Cross | CHIP | $17.13 | ↓ -89% |
| Keystone Health Plan | Commercial | $17.99 | ↓ -88% |
| Aetna | Commercial | $19.00 | ↓ -88% |
| InterGroup | PPO | $20.15 | ↓ -87% |
| Prime Net | FH-Medical Rental | $23.31 | ↓ -85% |
| Wellspan Population Health | Commercial | $26.35 | ↓ -83% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $57.85 | ↓ -63% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $58.72 | ↓ -62% |
| Humana | Medicare | $60.18 | ↓ -61% |
| Aetna | Medicare | $60.94 | ↓ -61% |
| Cigna | Medicare | $61.35 | ↓ -61% |
| United Healthcare | Medicare | $62.52 | ↓ -60% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $63.10 | ↓ -59% |
| UPMC Health Plan | CHIP | $65.46 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $70.60 | ↓ -55% |
| Highmark BCBS of PA | Commercial | $114.59 | ↓ -26% |
| Highmark BCBS of PA | CHIP | $114.59 | ↓ -26% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Lung function test (mbc/mvv) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $163.80 | $5.40 – $218.40 |
| UPMC East | Monroeville | $109.20 | $9.90 – $145.60 |
| UPMC Hamot | Erie | $99.00 | $9.90 – $81.67 |
| UPMC Northwest | Seneca | $115.80 | $9.90 – $67.46 |
| UPMC Hanover | Hanover | $145.20 | $7.07 – $90.78 |
| UPMC Horizon-Greenville | Greenville | $102.60 | $9.90 – $67.46 |
| UPMC Jameson | New Castle | $100.20 | $6.21 – $70.79 |
| UPMC Magee | Pittsburgh | $86.40 | $9.90 – $67.73 |