Paliperidone 117 mg/0.75 ml inj at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,391.40
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.
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What you pay up front if you don't use insurance.
$2,319.00
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.
$14.96 with Highmark BCBS of PA vs $2,273.54 with Health Partners Plans (Jefferson Health Plan) — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $14.96 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.11 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $15.11 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $15.11 | ↓ -99% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $15.18 | ↓ -99% |
| Humana | Medicare | $15.56 | ↓ -99% |
| Aetna | Medicare | $15.76 | ↓ -99% |
| Cigna | Medicare | $15.87 | ↓ -99% |
| United Healthcare | Medicare | $16.17 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $16.32 | ↓ -99% |
| Capital Blue Cross | Commercial | $17.87 | ↓ -99% |
| Capital Blue Cross | CHIP | $17.87 | ↓ -99% |
| Keystone Health Plan | Commercial | $18.29 | ↓ -99% |
| UPMC Health Plan | CHIP | $18.59 | ↓ -99% |
| Highmark BCBS of PA | CHIP | $22.35 | ↓ -98% |
| Highmark BCBS of PA | Commercial | $22.35 | ↓ -98% |
| Aetna | ACO | $32.03 | ↓ -98% |
| Aetna | PEBTF ACO | $35.36 | ↓ -97% |
| Aetna | Commercial | $41.55 | ↓ -97% |
| Keystone Health Plan | Medicare Advantage | $423.60 | ↓ -70% |
| Capital Blue Cross | Medicare Advantage | $423.60 | ↓ -70% |
| Prime Net | Managed Medicare | $512.56 | ↓ -63% |
| UPMC Work Partners | Workers Comp | $906.29 | ↓ -35% |
| InterGroup | PPO | $1,376.70 | ↓ -1% |
| Prime Net | FH-Medical Rental | $1,592.74 | ↑ +14% |
| Wellspan Population Health | Commercial | $1,800.30 | ↑ +29% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,273.54 | ↑ +63% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Paliperidone 117 mg/0.75 ml inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,391.40 | $14.96 – $2,273.54 |
| UPMC Hanover | Hanover | $1,391.40 | $14.96 – $2,273.54 |
| UPMC Lititz | Lititz | $1,391.40 | $14.96 – $2,273.54 |
| UPMC Magee | Pittsburgh | $5,211.60 | $9.54 – $2,511.56 |
| UPMC Memorial | York | $1,391.40 | $10.94 – $2,273.54 |
| UPMC Muncy | Muncy | $9,557.40 | $15.11 – $16.62 |
| UPMC Passavant-McCandless | Pittsburgh | $4,138.20 | $9.54 – $2,397.39 |
| UPMC Somerset | Somerset | $1,391.40 | $13.28 – $15.11 |