Place cath xtrnl carotid at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$4,043.40
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.
$6,739.00
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.
$110.31 with AmeriHealth Caritas vs $8,935.08 with UPMC Health Plan — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $110.31 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $113.79 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $118.30 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $126.52 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $148.03 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $356.07 | ↓ -91% |
| Highmark BCBS of PA | CHIP | $839.10 | ↓ -79% |
| Highmark BCBS of PA | Commercial | $839.10 | ↓ -79% |
| Keystone Health Plan | Medicare Advantage | $1,335.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,335.20 | ↓ -67% |
| Prime Net | Managed Medicare | $1,615.59 | ↓ -60% |
| Aetna | ACO | $1,633.00 | ↓ -60% |
| Aetna | Medicare | $1,675.68 | ↓ -59% |
| Aetna | PEBTF ACO | $1,802.00 | ↓ -55% |
| Aetna | Commercial | $2,120.00 | ↓ -48% |
| Capital Blue Cross | Commercial | $3,689.83 | ↓ -9% |
| Capital Blue Cross | CHIP | $3,689.83 | ↓ -9% |
| Keystone Health Plan | Commercial | $3,874.08 | ↓ -4% |
| InterGroup | PPO | $4,339.40 | ↑ +7% |
| Prime Net | FH-Medical Rental | $5,020.35 | ↑ +24% |
| Wellspan Population Health | Commercial | $5,674.60 | ↑ +40% |
| UPMC Health Plan | CHIP | $8,935.08 | ↑ +121% |
Visitor-reported prices
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Place cath xtrnl carotid at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,011.40 | $86.86 – $8,015.20 |
| UPMC Carlisle | Carlisle | $4,005.60 | $110.31 – $9,539.00 |
| UPMC East | Monroeville | $9,543.60 | $95.55 – $12,724.80 |
| UPMC Hamot | Erie | $9,103.20 | $95.55 – $340.24 |
| UPMC Hanover | Hanover | $4,005.60 | $110.31 – $356.07 |
| UPMC Lititz | Lititz | $4,005.60 | $110.31 – $356.07 |
| UPMC Memorial | York | $4,005.60 | $110.31 – $356.07 |
| UPMC Mercy | Pittsburgh | $10,440.00 | $95.55 – $385.02 |