M/phmtrc alys ishquant/semiq at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$337.20
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.
$562.00
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.
$112.40 with Keystone Health Plan vs $656.49 with UPMC Health Plan — 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $112.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $112.40 | ↓ -67% |
| Prime Net | Managed Medicare | $136.00 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $144.48 | ↓ -57% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $161.78 | ↓ -52% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $166.87 | ↓ -51% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $169.39 | ↓ -50% |
| Humana | Medicare | $173.62 | ↓ -49% |
| Aetna | Medicare | $175.81 | ↓ -48% |
| Cigna | Medicare | $176.99 | ↓ -48% |
| United Healthcare | Medicare | $180.36 | ↓ -47% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $182.04 | ↓ -46% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $220.34 | ↓ -35% |
| Geisinger | Medicaid/CHIP | $235.65 | ↓ -30% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $275.71 | ↓ -18% |
| UPMC Work Partners | Workers Comp | $292.33 | ↓ -13% |
| Aetna | ACO | $331.02 | ↓ -2% |
| Aetna | PEBTF ACO | $351.25 | ↑ +4% |
| InterGroup | PPO | $365.30 | ↑ +8% |
| Highmark BCBS of PA | CHIP | $372.51 | ↑ +10% |
| Highmark BCBS of PA | Commercial | $372.51 | ↑ +10% |
| Aetna | Commercial | $413.63 | ↑ +23% |
| Prime Net | FH-Medical Rental | $422.62 | ↑ +25% |
| Wellspan Population Health | Commercial | $477.70 | ↑ +42% |
| Capital Blue Cross | CHIP | $551.96 | ↑ +64% |
| Capital Blue Cross | Commercial | $551.96 | ↑ +64% |
| Keystone Health Plan | Commercial | $551.96 | ↑ +64% |
| UPMC Health Plan | CHIP | $656.49 | ↑ +95% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $463.20 | $93.18 – $617.60 |
| UPMC Carlisle | Carlisle | $337.20 | $76.99 – $477.70 |
| UPMC Cole | Coudersport | $1,052.40 | $53.00 – $1,403.20 |
| UPMC East | Monroeville | $370.20 | $94.07 – $493.60 |
| UPMC Hamot | Erie | $426.00 | $93.18 – $279.34 |
| UPMC Northwest | Seneca | $646.80 | $148.16 – $279.34 |
| UPMC Horizon-Greenville | Greenville | $400.20 | $146.27 – $279.34 |
| UPMC Jameson | New Castle | $528.00 | $94.83 – $279.34 |