Mastoids complete at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$262.80
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.
$438.00
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.
$36.02 with United Healthcare Community Plan for Families vs $372.30 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $36.02 | ↓ -86% |
| Keystone Health Plan | Medicare Advantage | $87.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $87.60 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $103.55 | ↓ -61% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $105.11 | ↓ -60% |
| Prime Net | Managed Medicare | $106.00 | ↓ -60% |
| Humana | Medicare | $107.74 | ↓ -59% |
| Aetna | Medicare | $109.10 | ↓ -58% |
| Cigna | Medicare | $109.83 | ↓ -58% |
| United Healthcare | Medicare | $111.92 | ↓ -57% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $112.97 | ↓ -57% |
| Premier Comp Solutions | Worker's Comp | $116.00 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $119.15 | ↓ -55% |
| UPMC Health Plan | CHIP | $162.62 | ↓ -38% |
| Capital Blue Cross | CHIP | $176.22 | ↓ -33% |
| Capital Blue Cross | Commercial | $176.22 | ↓ -33% |
| Keystone Health Plan | Commercial | $176.22 | ↓ -33% |
| Geisinger | Medicaid/CHIP | $240.90 | ↓ -8% |
| Highmark BCBS of PA | Commercial | $241.66 | ↓ -8% |
| Highmark BCBS of PA | CHIP | $241.66 | ↓ -8% |
| Aetna | ACO | $257.98 | ↓ -2% |
| Aetna | PEBTF ACO | $273.75 | ↑ +4% |
| InterGroup | PPO | $284.70 | ↑ +8% |
| Aetna | Commercial | $322.37 | ↑ +23% |
| Prime Net | FH-Medical Rental | $329.38 | ↑ +25% |
| Wellspan Population Health | Commercial | $372.30 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Mastoids complete at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $483.60 | $54.96 – $644.80 |
| UPMC Carlisle | Carlisle | $262.80 | $36.02 – $372.30 |
| UPMC Cole | Coudersport | $248.40 | $58.28 – $331.20 |
| UPMC Hamot | Erie | $418.20 | $54.96 – $166.40 |
| UPMC Northwest | Seneca | $348.60 | $45.15 – $113.86 |
| UPMC Hanover | Hanover | $262.80 | $36.02 – $162.62 |
| UPMC Horizon-Greenville | Greenville | $250.80 | $45.30 – $113.86 |
| UPMC Jameson | New Castle | $215.40 | $31.62 – $126.72 |