Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,206.60
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.
$2,011.00
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.
$166.95 with United Healthcare Community Plan for Families vs $1,709.35 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 | $166.95 | ↓ -86% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $206.83 | ↓ -83% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $209.94 | ↓ -83% |
| Humana | Medicare | $215.19 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $216.08 | ↓ -82% |
| Aetna | Medicare | $217.90 | ↓ -82% |
| Cigna | Medicare | $219.37 | ↓ -82% |
| United Healthcare | Medicare | $223.54 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $225.63 | ↓ -81% |
| Keystone Health Plan | Medicare Advantage | $402.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $402.20 | ↓ -67% |
| Prime Net | Managed Medicare | $486.66 | ↓ -60% |
| Highmark BCBS of PA | CHIP | $785.00 | ↓ -35% |
| Highmark BCBS of PA | Commercial | $785.00 | ↓ -35% |
| UPMC Health Plan | CHIP | $1,008.00 | ↓ -16% |
| Geisinger | Medicaid/CHIP | $1,106.05 | ↓ -8% |
| Capital Blue Cross | Commercial | $1,141.08 | ↓ -5% |
| Capital Blue Cross | CHIP | $1,141.08 | ↓ -5% |
| Keystone Health Plan | Commercial | $1,141.08 | ↓ -5% |
| Aetna | ACO | $1,184.48 | ↓ -2% |
| Aetna | PEBTF ACO | $1,256.88 | ↑ +4% |
| InterGroup | PPO | $1,307.15 | ↑ +8% |
| Aetna | Commercial | $1,480.10 | ↑ +23% |
| Prime Net | FH-Medical Rental | $1,512.27 | ↑ +25% |
| Wellspan Population Health | Commercial | $1,709.35 | ↑ +42% |
Visitor-reported prices
Comments
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $732.60 | $196.36 – $517.60 |
| UPMC Bedford | Everett | $1,288.20 | $75.38 – $627.30 |
| UPMC Carlisle | Carlisle | $1,206.60 | $114.91 – $1,709.35 |
| UPMC Cole | Coudersport | $940.80 | $53.00 – $1,254.40 |
| UPMC East | Monroeville | $859.80 | $198.23 – $1,146.40 |
| UPMC Hamot | Erie | $886.80 | $196.36 – $225.63 |
| UPMC Northwest | Seneca | $859.80 | $189.47 – $225.63 |
| UPMC Horizon-Greenville | Greenville | $859.80 | $187.05 – $317.51 |