Ob Ultrasound nuchal meas add-on at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$175.20
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.
$292.00
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.
$34.57 with United Healthcare Community Plan for Families vs $269.61 with Highmark BCBS of PA — 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 | $34.57 | ↓ -80% |
| Capital Blue Cross | Medicare Advantage | $58.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $58.40 | ↓ -67% |
| Prime Net | Managed Medicare | $70.66 | ↓ -60% |
| Aetna | Medicare | $73.29 | ↓ -58% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $78.70 | ↓ -55% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $84.40 | ↓ -52% |
| Geisinger | Medicaid/CHIP | $90.27 | ↓ -48% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $105.61 | ↓ -40% |
| UPMC Health Plan | CHIP | $118.22 | ↓ -33% |
| Premier Comp Solutions | Worker's Comp | $128.93 | ↓ -26% |
| UPMC Work Partners | Workers Comp | $128.93 | ↓ -26% |
| Capital Blue Cross | Commercial | $171.95 | ↓ -2% |
| Capital Blue Cross | CHIP | $171.95 | ↓ -2% |
| Keystone Health Plan | Commercial | $171.95 | ↓ -2% |
| Aetna | ACO | $171.99 | ↓ -2% |
| Aetna | PEBTF ACO | $182.50 | ↑ +4% |
| InterGroup | PPO | $189.80 | ↑ +8% |
| Aetna | Commercial | $214.91 | ↑ +23% |
| Prime Net | FH-Medical Rental | $219.58 | ↑ +25% |
| Wellspan Population Health | Commercial | $248.20 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $269.61 | ↑ +54% |
| Highmark BCBS of PA | CHIP | $269.61 | ↑ +54% |
Visitor-reported prices
Comments
Ob Ultrasound nuchal meas add-on at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $175.20 | $34.57 – $248.20 |
| UPMC Hamot | Erie | $430.80 | $59.03 – $183.38 |
| UPMC Hanover | Hanover | $175.20 | $34.57 – $128.93 |
| UPMC Jameson | New Castle | $304.20 | $30.35 – $123.19 |
| UPMC Lititz | Lititz | $175.20 | $34.57 – $128.93 |
| UPMC Magee | Pittsburgh | $197.40 | $61.91 – $123.19 |
| UPMC Memorial | York | $175.20 | $34.57 – $218.88 |
| UPMC Somerset | Somerset | $175.20 | $30.35 – $123.19 |