Mopath procedure level 1 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$138.60
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.
?
What you pay up front if you don't use insurance.
$231.00
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.
$43.60 with Keystone Health Plan vs $763.75 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $43.60 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $43.60 | ↓ -69% |
| United Healthcare Community Plan for Families | PA Medicaid | $51.12 | ↓ -63% |
| Prime Net | Managed Medicare | $52.76 | ↓ -62% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $63.32 | ↓ -54% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $64.27 | ↓ -54% |
| Humana | Medicare | $65.88 | ↓ -52% |
| UPMC Work Partners | Workers Comp | $66.15 | ↓ -52% |
| Aetna | Medicare | $66.71 | ↓ -52% |
| Cigna | Medicare | $67.16 | ↓ -52% |
| United Healthcare | Medicare | $68.44 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $69.08 | ↓ -50% |
| Geisinger | Medicaid/CHIP | $119.90 | ↓ -13% |
| Aetna | ACO | $128.40 | ↓ -7% |
| Aetna | PEBTF ACO | $136.25 | ↓ -2% |
| InterGroup | PPO | $141.70 | ↑ +2% |
| Aetna | Commercial | $160.45 | ↑ +16% |
| Prime Net | FH-Medical Rental | $163.94 | ↑ +18% |
| Wellspan Population Health | Commercial | $185.30 | ↑ +34% |
| Capital Blue Cross | Commercial | $256.06 | ↑ +85% |
| Capital Blue Cross | CHIP | $256.06 | ↑ +85% |
| Keystone Health Plan | Commercial | $256.06 | ↑ +85% |
| UPMC Health Plan | CHIP | $310.30 | ↑ +124% |
| Highmark BCBS of PA | CHIP | $763.75 | ↑ +451% |
| Highmark BCBS of PA | Commercial | $763.75 | ↑ +451% |
Visitor-reported prices
Comments
Mopath procedure level 1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $621.00 | $63.21 – $387.20 |
| UPMC Bedford | Everett | $639.00 | $23.08 – $457.20 |
| UPMC Carlisle | Carlisle | $138.60 | $29.87 – $185.30 |
| UPMC East | Monroeville | $1,253.40 | $63.21 – $406.40 |
| UPMC Hamot | Erie | $1,253.40 | $63.21 – $191.05 |
| UPMC Northwest | Seneca | $837.60 | $58.01 – $69.08 |
| UPMC Hanover | Hanover | $138.60 | $51.12 – $310.30 |
| UPMC Horizon-Greenville | Greenville | $1,476.00 | $57.26 – $120.02 |