Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$104.40
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.
$174.00
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.
$11.60 with Keystone Health Plan vs $229.34 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $11.60 | ↓ -89% |
| Capital Blue Cross | Medicare Advantage | $11.60 | ↓ -89% |
| Prime Net | Managed Medicare | $14.04 | ↓ -87% |
| Aetna | Medicare | $14.56 | ↓ -86% |
| Aetna | ACO | $19.78 | ↓ -81% |
| Aetna | PEBTF ACO | $21.00 | ↓ -80% |
| Aetna | Commercial | $24.71 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $24.82 | ↓ -76% |
| InterGroup | PPO | $37.70 | ↓ -64% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $40.65 | ↓ -61% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $40.65 | ↓ -61% |
| Geisinger | Medicaid/CHIP | $40.65 | ↓ -61% |
| Prime Net | FH-Medical Rental | $43.62 | ↓ -58% |
| Wellspan Population Health | Commercial | $49.30 | ↓ -53% |
| UPMC Health Plan | CHIP | $50.00 | ↓ -52% |
| Capital Blue Cross | CHIP | $210.80 | ↑ +102% |
| Capital Blue Cross | Commercial | $210.80 | ↑ +102% |
| Keystone Health Plan | Commercial | $221.33 | ↑ +112% |
| Highmark BCBS of PA | CHIP | $229.34 | ↑ +120% |
| Highmark BCBS of PA | Commercial | $229.34 | ↑ +120% |
Visitor-reported prices
Comments
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,221.60 | $25.67 – $566.40 |
| UPMC Bedford | Everett | $606.00 | $25.67 – $456.30 |
| UPMC Carlisle | Carlisle | $104.40 | $7.95 – $59.45 |
| UPMC Cole | Coudersport | $262.80 | $44.72 – $350.40 |
| UPMC East | Monroeville | $618.60 | $25.67 – $824.80 |
| UPMC Hamot | Erie | $557.40 | $25.67 – $137.74 |
| UPMC Northwest | Seneca | $824.40 | $25.67 – $357.48 |
| UPMC Hanover | Hanover | $104.40 | $40.65 – $59.45 |