Perc d-e cor revasc chro add at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$402.60
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.
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What you pay up front if you don't use insurance.
$671.00
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.
$134.20 with Capital Blue Cross vs $15,803.55 with Capital Blue Cross — 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 | $134.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $134.20 | ↓ -67% |
| Prime Net | Managed Medicare | $162.38 | ↓ -60% |
| Aetna | Medicare | $168.42 | ↓ -58% |
| Aetna | ACO | $329.46 | ↓ -18% |
| Aetna | PEBTF ACO | $349.59 | ↓ -13% |
| Geisinger | Medicaid/CHIP | $369.05 | ↓ -8% |
| Aetna | Commercial | $411.32 | ↑ +2% |
| InterGroup | PPO | $436.15 | ↑ +8% |
| Prime Net | FH-Medical Rental | $504.59 | ↑ +25% |
| Wellspan Population Health | Commercial | $570.35 | ↑ +42% |
| UPMC Health Plan | CHIP | $7,873.60 | ↑ +1856% |
| Highmark BCBS of PA | Commercial | $13,398.19 | ↑ +3228% |
| Highmark BCBS of PA | CHIP | $13,398.19 | ↑ +3228% |
| Capital Blue Cross | Commercial | $15,803.55 | ↑ +3825% |
| Keystone Health Plan | Commercial | $15,803.55 | ↑ +3825% |
| Capital Blue Cross | CHIP | $15,803.55 | ↑ +3825% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Perc d-e cor revasc chro add at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $15,605.12 | not published |
| UPMC Hamot | Erie | $12,313.20 | $2,142.86 – $2,142.86 |
| UPMC McKeesport | Mckeesport | $12,302.40 | $2,163.27 – $7,873.60 |
| UPMC Presbyterian | Pittsburgh | $23,282.40 | $2,163.27 – $12,730.21 |
| UPMC Williamsport | Williamsport | $2,265.60 | $1,019.52 – $3,398.40 |