Place duod/jej tube perc at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$7,209.00
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.
$12,015.00
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.
$259.52 with AmeriHealth Caritas vs $14,384.33 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 | $259.52 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $261.83 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $280.02 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $327.62 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -86% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,847.37 | ↓ -74% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,875.17 | ↓ -74% |
| Humana | Medicare | $1,922.01 | ↓ -73% |
| Aetna | Medicare | $1,946.27 | ↓ -73% |
| Cigna | Medicare | $1,959.33 | ↓ -73% |
| United Healthcare | Medicare | $1,996.65 | ↓ -72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,015.31 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $2,069.80 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $2,403.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $2,403.00 | ↓ -67% |
| Aetna | ACO | $2,684.00 | ↓ -63% |
| Prime Net | Managed Medicare | $2,907.63 | ↓ -60% |
| Aetna | PEBTF ACO | $2,963.00 | ↓ -59% |
| Capital Blue Cross | CHIP | $3,135.30 | ↓ -57% |
| Keystone Health Plan | Commercial | $3,135.30 | ↓ -57% |
| Capital Blue Cross | Commercial | $3,135.30 | ↓ -57% |
| Aetna | Commercial | $3,485.00 | ↓ -52% |
| InterGroup | PPO | $7,809.75 | ↑ +8% |
| Prime Net | FH-Medical Rental | $9,035.28 | ↑ +25% |
| Highmark BCBS of PA | Commercial | $9,354.68 | ↑ +30% |
| Highmark BCBS of PA | CHIP | $9,354.68 | ↑ +30% |
| Wellspan Population Health | Commercial | $10,212.75 | ↑ +42% |
| UPMC Health Plan | CHIP | $14,384.33 | ↑ +100% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Place duod/jej tube perc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,937.40 | $192.24 – $6,583.20 |
| UPMC Carlisle | Carlisle | $7,209.00 | $244.14 – $10,212.75 |
| UPMC East | Monroeville | $9,489.60 | $211.46 – $12,652.80 |
| UPMC Hamot | Erie | $5,066.40 | $211.46 – $2,630.42 |
| UPMC Hanover | Hanover | $7,209.00 | $244.14 – $2,899.50 |
| UPMC Lititz | Lititz | $7,209.00 | $244.14 – $2,915.17 |
| UPMC Magee | Pittsburgh | $5,186.40 | $211.46 – $2,287.83 |
| UPMC Memorial | York | $7,209.00 | $244.14 – $2,910.43 |