Obstetric panel inc HIV tstg at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$486.60
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.
$811.00
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.
$74.11 with Highmark BCBS of PA vs $689.35 with Wellspan Population Health — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $74.11 | ↓ -85% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $75.23 | ↓ -85% |
| Humana | Medicare | $77.11 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $77.43 | ↓ -84% |
| Aetna | Medicare | $78.08 | ↓ -84% |
| Cigna | Medicare | $78.60 | ↓ -84% |
| United Healthcare | Medicare | $80.10 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $80.85 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $81.58 | ↓ -83% |
| United Healthcare Community Plan for Families | PA Medicaid | $106.87 | ↓ -78% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $111.11 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $118.83 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $139.03 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $162.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $162.20 | ↓ -67% |
| Prime Net | Managed Medicare | $196.26 | ↓ -60% |
| Highmark BCBS of PA | CHIP | $284.83 | ↓ -41% |
| Highmark BCBS of PA | Commercial | $284.83 | ↓ -41% |
| Capital Blue Cross | Commercial | $408.24 | ↓ -16% |
| Capital Blue Cross | CHIP | $408.24 | ↓ -16% |
| Keystone Health Plan | Commercial | $408.24 | ↓ -16% |
| Aetna | ACO | $477.68 | ↓ -2% |
| Aetna | PEBTF ACO | $506.88 | ↑ +4% |
| InterGroup | PPO | $527.15 | ↑ +8% |
| Aetna | Commercial | $596.90 | ↑ +23% |
| UPMC Health Plan | CHIP | $600.15 | ↑ +23% |
| Prime Net | FH-Medical Rental | $609.87 | ↑ +25% |
| Wellspan Population Health | Commercial | $689.35 | ↑ +42% |
Visitor-reported prices
Comments
Obstetric panel inc HIV tstg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $351.60 | $71.25 – $468.80 |
| UPMC Bedford | Everett | $446.40 | $27.01 – $669.60 |
| UPMC East | Monroeville | $307.20 | $71.93 – $409.60 |
| UPMC Hamot | Erie | $394.80 | $71.25 – $113.39 |
| UPMC Northwest | Seneca | $471.00 | $67.89 – $93.82 |
| UPMC Horizon-Greenville | Greenville | $444.60 | $67.02 – $115.20 |
| UPMC Jameson | New Castle | $144.60 | $72.51 – $93.82 |
| UPMC Magee | Pittsburgh | $857.40 | $70.06 – $139.03 |