Placement nephrostomy catheter (both sides) at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$5,191.20
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.
$8,652.00
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.
$329.78 with UPMC Health Plan vs $7,354.20 with Wellspan Population Health — 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 |
|---|---|---|---|
| UPMC Health Plan | CHIP | $329.78 | ↓ -94% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $1,135.76 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $1,730.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,730.40 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,994.93 | ↓ -62% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2,024.95 | ↓ -61% |
| Humana | Medicare | $2,075.53 | ↓ -60% |
| Prime Net | Managed Medicare | $2,093.78 | ↓ -60% |
| Aetna | Medicare | $2,101.73 | ↓ -60% |
| Cigna | Medicare | $2,115.83 | ↓ -59% |
| United Healthcare | Medicare | $2,156.14 | ↓ -58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,176.29 | ↓ -58% |
| Highmark BCBS of PA | Commercial | $2,338.90 | ↓ -55% |
| Highmark BCBS of PA | CHIP | $2,338.90 | ↓ -55% |
| Aetna | ACO | $2,684.00 | ↓ -48% |
| Aetna | PEBTF ACO | $2,963.00 | ↓ -43% |
| Aetna | Commercial | $3,485.00 | ↓ -33% |
| Geisinger | Medicaid/CHIP | $4,758.60 | ↓ -8% |
| InterGroup | PPO | $5,623.80 | ↑ +8% |
| Capital Blue Cross | Commercial | $5,805.45 | ↑ +12% |
| Capital Blue Cross | CHIP | $5,805.45 | ↑ +12% |
| Keystone Health Plan | Commercial | $5,805.45 | ↑ +12% |
| Prime Net | FH-Medical Rental | $6,506.30 | ↑ +25% |
| Wellspan Population Health | Commercial | $7,354.20 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Placement nephrostomy catheter (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,623.60 | $329.78 – $2,164.80 |
| UPMC Carlisle | Carlisle | $5,191.20 | $329.78 – $7,354.20 |
| UPMC East | Monroeville | $13,146.00 | $188.39 – $17,528.00 |
| UPMC Hamot | Erie | $2,329.80 | $409.44 – $2,840.52 |
| UPMC Northwest | Seneca | $2,483.40 | $237.66 – $2,109.25 |
| UPMC Hanover | Hanover | $5,191.20 | $329.78 – $3,131.10 |
| UPMC Jameson | New Castle | $2,365.80 | $329.78 – $2,636.56 |
| UPMC Lititz | Lititz | $5,191.20 | $329.78 – $3,148.02 |