Med genetics&genetic counseling svcs each 30 min at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$251.40
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.
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What you pay up front if you don't use insurance.
$419.00
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.
$47.21 with AmeriHealth Caritas vs $276.25 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.21 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $50.63 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $54.14 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $63.35 | ↓ -75% |
| Keystone Health Plan | Medicare Advantage | $65.00 | ↓ -74% |
| Capital Blue Cross | Medicare Advantage | $65.00 | ↓ -74% |
| Prime Net | Managed Medicare | $78.65 | ↓ -69% |
| Aetna | Medicare | $81.58 | ↓ -68% |
| Highmark BCBS of PA | CHIP | $87.52 | ↓ -65% |
| Highmark BCBS of PA | Commercial | $87.52 | ↓ -65% |
| Aetna | ACO | $159.57 | ↓ -37% |
| Aetna | PEBTF ACO | $169.32 | ↓ -33% |
| Capital Blue Cross | Commercial | $179.63 | ↓ -29% |
| Capital Blue Cross | CHIP | $179.63 | ↓ -29% |
| Keystone Health Plan | Commercial | $188.60 | ↓ -25% |
| Aetna | Commercial | $199.22 | ↓ -21% |
| InterGroup | PPO | $211.25 | ↓ -16% |
| UPMC Health Plan | CHIP | $227.50 | ↓ -10% |
| Prime Net | FH-Medical Rental | $244.40 | ↓ -3% |
| Wellspan Population Health | Commercial | $276.25 | ↑ +10% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Med genetics&genetic counseling svcs each 30 min at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $251.40 | $44.52 – $276.25 |
| UPMC Magee | Pittsburgh | $138.00 | $40.89 – $63.35 |
| UPMC Memorial | York | $251.40 | $13.33 – $54.14 |
| UPMC Somerset | Somerset | $251.40 | $16.19 – $51.66 |