Opn exc/dst ntra-abd 10.1-20 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$8,653.20
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.
$14,422.00
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.
$1,052.00 with Keystone Health Plan vs $4,471.00 with Wellspan Population Health — 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $1,052.00 | ↓ -88% |
| Capital Blue Cross | Medicare Advantage | $1,052.00 | ↓ -88% |
| Prime Net | Managed Medicare | $1,272.92 | ↓ -85% |
| Aetna | Medicare | $1,320.26 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $1,907.19 | ↓ -78% |
| Aetna | ACO | $2,582.66 | ↓ -70% |
| Aetna | PEBTF ACO | $2,740.46 | ↓ -68% |
| Highmark BCBS of PA | CHIP | $2,743.03 | ↓ -68% |
| Highmark BCBS of PA | Commercial | $2,743.03 | ↓ -68% |
| Geisinger | Medicaid/CHIP | $2,893.00 | ↓ -67% |
| Capital Blue Cross | Commercial | $2,907.20 | ↓ -66% |
| Capital Blue Cross | CHIP | $2,907.20 | ↓ -66% |
| Keystone Health Plan | Commercial | $3,052.38 | ↓ -65% |
| Aetna | Commercial | $3,224.38 | ↓ -63% |
| InterGroup | PPO | $3,419.00 | ↓ -60% |
| UPMC Health Plan | CHIP | $3,682.00 | ↓ -57% |
| Prime Net | FH-Medical Rental | $3,955.52 | ↓ -54% |
| Wellspan Population Health | Commercial | $4,471.00 | ↓ -48% |
Visitor-reported prices
Comments
Opn exc/dst ntra-abd 10.1-20 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $8,653.20 | $1,907.19 – $12,258.70 |
| UPMC Hanover | Hanover | $8,653.20 | $1,907.19 – $1,907.19 |
| UPMC Horizon-Greenville | Greenville | $12,047.40 | $1,292.79 – $1,822.43 |
| UPMC Lititz | Lititz | $8,653.20 | $1,775.20 – $1,907.19 |
| UPMC Memorial | York | $8,653.20 | $541.61 – $1,907.19 |
| UPMC Presbyterian | Pittsburgh | $22,682.40 | $670.85 – $2,319.42 |
| UPMC Somerset | Somerset | $8,653.20 | $657.80 – $1,822.43 |