Pet CT skull-mid thgh initial at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$5,639.40
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.
$9,399.00
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.
$94.20 with Keystone Health Plan vs $14,726.66 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 | $94.20 | ↓ -98% |
| Capital Blue Cross | Medicare Advantage | $94.20 | ↓ -98% |
| Prime Net | Managed Medicare | $113.98 | ↓ -98% |
| Aetna | ACO | $277.42 | ↓ -95% |
| Aetna | PEBTF ACO | $294.38 | ↓ -95% |
| InterGroup | PPO | $306.15 | ↓ -95% |
| Aetna | Commercial | $346.66 | ↓ -94% |
| Prime Net | FH-Medical Rental | $354.19 | ↓ -94% |
| Wellspan Population Health | Commercial | $400.35 | ↓ -93% |
| Aetna | Medicare | $1,315.49 | ↓ -77% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,420.44 | ↓ -75% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,441.82 | ↓ -74% |
| Humana | Medicare | $1,477.83 | ↓ -74% |
| Cigna | Medicare | $1,506.53 | ↓ -73% |
| United Healthcare | Medicare | $1,535.23 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,549.57 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,581.50 | ↓ -72% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,660.19 | ↓ -71% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,780.46 | ↓ -68% |
| Geisinger | Medicaid/CHIP | $1,904.13 | ↓ -66% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,227.80 | ↓ -60% |
| UPMC Health Plan | CHIP | $2,800.00 | ↓ -50% |
| Capital Blue Cross | CHIP | $4,992.65 | ↓ -11% |
| Capital Blue Cross | Commercial | $4,992.65 | ↓ -11% |
| Keystone Health Plan | Commercial | $4,992.65 | ↓ -11% |
| Highmark BCBS of PA | Commercial | $14,726.66 | ↑ +161% |
| Highmark BCBS of PA | CHIP | $14,726.66 | ↑ +161% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Pet CT skull-mid thgh initial at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,901.60 | $1,207.25 – $7,868.80 |
| UPMC Carlisle | Carlisle | $5,639.40 | $800.00 – $7,989.15 |
| UPMC Cole | Coudersport | $8,425.20 | $1,372.60 – $11,233.60 |
| UPMC Northwest | Seneca | $10,513.20 | $777.40 – $1,503.33 |
| UPMC Hanover | Hanover | $5,639.40 | $800.00 – $7,584.17 |
| UPMC Horizon-Greenville | Greenville | $8,429.40 | $779.90 – $2,609.44 |
| UPMC Kane | Kane | $5,818.20 | $1,437.96 – $5,997.30 |
| UPMC Lititz | Lititz | $5,639.40 | $800.00 – $7,584.17 |