Off/op consltj new/est hi 55 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$659.40
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.
$1,099.00
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.
$108.80 with Keystone Health Plan vs $753.18 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $108.80 | ↓ -84% |
| Capital Blue Cross | Medicare Advantage | $108.80 | ↓ -84% |
| Prime Net | Managed Medicare | $131.65 | ↓ -80% |
| Aetna | Medicare | $136.54 | ↓ -79% |
| United Healthcare Community Plan for Families | PA Medicaid | $185.98 | ↓ -72% |
| Aetna | ACO | $267.10 | ↓ -59% |
| Aetna | PEBTF ACO | $283.42 | ↓ -57% |
| Geisinger | Medicaid/CHIP | $299.20 | ↓ -55% |
| Capital Blue Cross | Commercial | $300.67 | ↓ -54% |
| Capital Blue Cross | CHIP | $300.67 | ↓ -54% |
| Keystone Health Plan | Commercial | $315.68 | ↓ -52% |
| Aetna | Commercial | $333.47 | ↓ -49% |
| InterGroup | PPO | $353.60 | ↓ -46% |
| UPMC Work Partners | Workers Comp | $380.34 | ↓ -42% |
| Prime Net | FH-Medical Rental | $409.09 | ↓ -38% |
| UPMC Health Plan | CHIP | $425.60 | ↓ -35% |
| Wellspan Population Health | Commercial | $462.40 | ↓ -30% |
| Highmark BCBS of PA | CHIP | $753.18 | ↑ +14% |
| Highmark BCBS of PA | Commercial | $753.18 | ↑ +14% |
Visitor-reported prices
Comments
Off/op consltj new/est hi 55 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $655.20 | $168.00 – $488.80 |
| UPMC Magee | Pittsburgh | $1,018.80 | $142.11 – $406.72 |
| UPMC Presbyterian | Pittsburgh | $3,681.60 | $142.11 – $448.53 |
| UPMC Somerset | Somerset | $659.40 | $26.11 – $348.71 |
| UPMC Wellsboro | Wellsboro | $333.00 | $181.72 – $348.71 |