Nerve conduction studies 11-12 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$328.20
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.
$547.00
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.
$101.59 with United Healthcare Community Plan for Families vs $563.70 with PA Health & Wellness — 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 | $101.59 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $109.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $109.40 | ↓ -67% |
| Prime Net | Managed Medicare | $132.37 | ↓ -60% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $252.39 | ↓ -23% |
| UPMC Health Plan | CHIP | $257.54 | ↓ -22% |
| Aetna | ACO | $268.58 | ↓ -18% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $270.67 | ↓ -18% |
| Aetna | PEBTF ACO | $284.99 | ↓ -13% |
| Geisinger | Medicaid/CHIP | $289.47 | ↓ -12% |
| Capital Blue Cross | CHIP | $302.33 | ↓ -8% |
| Capital Blue Cross | Commercial | $302.33 | ↓ -8% |
| Keystone Health Plan | Commercial | $317.42 | ↓ -3% |
| Aetna | Commercial | $335.31 | ↑ +2% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $338.68 | ↑ +3% |
| InterGroup | PPO | $355.55 | ↑ +8% |
| UPMC Work Partners | Workers Comp | $371.02 | ↑ +13% |
| Prime Net | FH-Medical Rental | $411.34 | ↑ +25% |
| Wellspan Population Health | Commercial | $464.95 | ↑ +42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $516.72 | ↑ +57% |
| Highmark BCBS of PA | Commercial | $516.83 | ↑ +57% |
| Highmark BCBS of PA | CHIP | $516.83 | ↑ +57% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $524.50 | ↑ +60% |
| Humana | Medicare | $537.60 | ↑ +64% |
| Aetna | Medicare | $544.38 | ↑ +66% |
| Cigna | Medicare | $548.04 | ↑ +67% |
| United Healthcare | Medicare | $558.48 | ↑ +70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $563.70 | ↑ +72% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nerve conduction studies 11-12 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $542.40 | $77.55 – $723.20 |
| UPMC Bedford | Everett | $1,788.60 | $182.51 – $2,682.90 |
| UPMC Carlisle | Carlisle | $328.20 | $74.94 – $812.13 |
| UPMC Cole | Coudersport | $316.20 | $63.48 – $354.54 |
| UPMC East | Monroeville | $2,332.80 | $83.45 – $3,110.40 |
| UPMC Hamot | Erie | $2,557.80 | $82.66 – $720.95 |
| UPMC Northwest | Seneca | $2,280.00 | $214.54 – $531.15 |
| UPMC Hanover | Hanover | $328.20 | $101.59 – $811.01 |