Off/op cnsltj new/est mod 40 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$693.60
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.
$1,156.00
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.
$138.78 with United Healthcare Community Plan for Families vs $982.60 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $138.78 | ↓ -80% |
| Keystone Health Plan | Medicare Advantage | $231.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $231.20 | ↓ -67% |
| Prime Net | Managed Medicare | $279.75 | ↓ -60% |
| Aetna | Medicare | $290.16 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $316.40 | ↓ -54% |
| UPMC Health Plan | CHIP | $426.89 | ↓ -38% |
| InterGroup | PPO | $545.70 | ↓ -21% |
| Aetna | ACO | $567.60 | ↓ -18% |
| Aetna | PEBTF ACO | $602.28 | ↓ -13% |
| Geisinger | Medicaid/CHIP | $635.80 | ↓ -8% |
| Capital Blue Cross | Commercial | $638.92 | ↓ -8% |
| Capital Blue Cross | CHIP | $638.92 | ↓ -8% |
| Keystone Health Plan | Commercial | $670.83 | ↓ -3% |
| Aetna | Commercial | $708.63 | ↑ +2% |
| Highmark BCBS of PA | Commercial | $724.34 | ↑ +4% |
| Highmark BCBS of PA | CHIP | $724.34 | ↑ +4% |
| Prime Net | FH-Medical Rental | $869.31 | ↑ +25% |
| Wellspan Population Health | Commercial | $982.60 | ↑ +42% |
Visitor-reported prices
Comments
Off/op cnsltj new/est mod 40 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $537.00 | $135.27 – $390.40 |
| UPMC Somerset | Somerset | $693.60 | $22.91 – $294.71 |
| UPMC Wellsboro | Wellsboro | $268.20 | $135.60 – $294.71 |
| UPMC Western Psychiatric | Pittsburgh | $487.20 | $133.92 – $133.92 |