Ndl emg musc 1 xtr/non-limb at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$247.80
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.
$413.00
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.
$22.61 with United Healthcare Community Plan for Families vs $351.05 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 | $22.61 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $36.56 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $39.21 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $41.94 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $49.06 | ↓ -80% |
| UPMC Health Plan | CHIP | $66.92 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $77.31 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $82.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $82.60 | ↓ -67% |
| Prime Net | Managed Medicare | $99.95 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $125.53 | ↓ -49% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $127.42 | ↓ -49% |
| Humana | Medicare | $130.60 | ↓ -47% |
| Aetna | Medicare | $132.25 | ↓ -47% |
| Cigna | Medicare | $133.14 | ↓ -46% |
| United Healthcare | Medicare | $135.68 | ↓ -45% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $136.94 | ↓ -45% |
| Highmark BCBS of PA | Commercial | $154.34 | ↓ -38% |
| Highmark BCBS of PA | CHIP | $154.34 | ↓ -38% |
| Aetna | ACO | $202.78 | ↓ -18% |
| Aetna | PEBTF ACO | $215.17 | ↓ -13% |
| Capital Blue Cross | CHIP | $228.27 | ↓ -8% |
| Capital Blue Cross | Commercial | $228.27 | ↓ -8% |
| Keystone Health Plan | Commercial | $239.66 | ↓ -3% |
| Aetna | Commercial | $253.17 | ↑ +2% |
| InterGroup | PPO | $268.45 | ↑ +8% |
| Prime Net | FH-Medical Rental | $310.58 | ↑ +25% |
| Wellspan Population Health | Commercial | $351.05 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ndl emg musc 1 xtr/non-limb at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $359.40 | $17.10 – $479.20 |
| UPMC Carlisle | Carlisle | $247.80 | $22.61 – $351.05 |
| UPMC Cole | Coudersport | $55.80 | $11.64 – $89.51 |
| UPMC East | Monroeville | $160.80 | $24.92 – $214.40 |
| UPMC Hamot | Erie | $163.80 | $24.68 – $153.18 |
| UPMC Northwest | Seneca | $165.00 | $31.67 – $129.03 |
| UPMC Hanover | Hanover | $247.80 | $22.61 – $197.02 |
| UPMC Lititz | Lititz | $247.80 | $22.61 – $198.08 |