Pentostatin 10 mg intravenous solution at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,609.20
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.
$2,682.00
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.
$455.20 with Capital Blue Cross vs $5,119.56 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $455.20 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $455.20 | ↓ -72% |
| Prime Net | Managed Medicare | $550.79 | ↓ -66% |
| Aetna | ACO | $776.12 | ↓ -52% |
| Aetna | PEBTF ACO | $823.91 | ↓ -49% |
| Aetna | Commercial | $969.58 | ↓ -40% |
| UPMC Work Partners | Workers Comp | $973.90 | ↓ -39% |
| InterGroup | PPO | $1,479.40 | ↓ -8% |
| Prime Net | FH-Medical Rental | $1,711.55 | ↑ +6% |
| Wellspan Population Health | Commercial | $1,934.60 | ↑ +20% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,582.08 | ↑ +60% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,608.16 | ↑ +62% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,608.16 | ↑ +62% |
| Geisinger | Medicaid/CHIP | $2,608.16 | ↑ +62% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2,620.94 | ↑ +63% |
| Humana | Medicare | $2,686.40 | ↑ +67% |
| Aetna | Medicare | $2,720.31 | ↑ +69% |
| Cigna | Medicare | $2,738.57 | ↑ +70% |
| United Healthcare | Medicare | $2,790.73 | ↑ +73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,816.81 | ↑ +75% |
| Capital Blue Cross | Commercial | $3,084.26 | ↑ +92% |
| Capital Blue Cross | CHIP | $3,084.26 | ↑ +92% |
| UPMC Health Plan | CHIP | $3,208.03 | ↑ +99% |
| Keystone Health Plan | Commercial | $3,392.92 | ↑ +111% |
| Highmark BCBS of PA | CHIP | $5,119.56 | ↑ +218% |
| Highmark BCBS of PA | Commercial | $5,119.56 | ↑ +218% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Pentostatin 10 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,609.20 | $311.81 – $4,173.06 |
| UPMC Cole | Coudersport | $7,348.80 | $2,608.16 – $9,798.40 |
| UPMC Hamot | Erie | $5,255.40 | $1,646.79 – $3,074.72 |
| UPMC Hanover | Hanover | $1,609.20 | $2,582.08 – $4,173.06 |
| UPMC Lititz | Lititz | $1,609.20 | $2,582.08 – $4,173.06 |
| UPMC Magee | Pittsburgh | $10,857.00 | $1,646.79 – $3,103.99 |
| UPMC Memorial | York | $1,609.20 | $2,506.02 – $4,173.06 |
| UPMC Presbyterian | Pittsburgh | $6,720.00 | $1,646.79 – $3,103.99 |