Perq transcath closure each at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$4,354.20
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.
$7,257.00
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.
$308.16 with United Healthcare Community Plan for Families vs $12,232.00 with Aetna — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $308.16 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $618.81 | ↓ -86% |
| Highmark BCBS of PA | Commercial | $1,202.79 | ↓ -72% |
| Highmark BCBS of PA | CHIP | $1,202.79 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $1,451.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,451.40 | ↓ -67% |
| Prime Net | Managed Medicare | $1,756.19 | ↓ -60% |
| Aetna | Medicare | $1,821.51 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $3,991.35 | ↓ -8% |
| Capital Blue Cross | CHIP | $4,010.94 | ↓ -8% |
| Capital Blue Cross | Commercial | $4,010.94 | ↓ -8% |
| Keystone Health Plan | Commercial | $4,211.24 | ↓ -3% |
| InterGroup | PPO | $4,717.05 | ↑ +8% |
| UPMC Health Plan | CHIP | $5,079.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $5,457.26 | ↑ +25% |
| Wellspan Population Health | Commercial | $6,168.45 | ↑ +42% |
| Aetna | ACO | $9,415.00 | ↑ +116% |
| Aetna | PEBTF ACO | $10,393.00 | ↑ +139% |
| Aetna | Commercial | $12,232.00 | ↑ +181% |
Visitor-reported prices
Comments
Perq transcath closure each at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,354.20 | $308.16 – $6,168.45 |
| UPMC Hanover | Hanover | $4,354.20 | $308.16 – $618.81 |
| UPMC Lititz | Lititz | $4,354.20 | $308.16 – $618.81 |
| UPMC Memorial | York | $4,354.20 | $237.49 – $618.81 |
| UPMC Somerset | Somerset | $4,354.20 | $270.53 – $591.31 |