Porfimer sodium injection at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$13,787.40
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.
$22,979.00
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.
$4,595.80 with Keystone Health Plan vs $26,586.40 with Keystone 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $4,595.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $4,595.80 | ↓ -67% |
| Prime Net | Managed Medicare | $5,560.92 | ↓ -60% |
| Aetna | ACO | $7,835.84 | ↓ -43% |
| Highmark BCBS of PA | CHIP | $7,964.77 | ↓ -42% |
| Highmark BCBS of PA | Commercial | $7,964.77 | ↓ -42% |
| Aetna | PEBTF ACO | $8,318.40 | ↓ -40% |
| Aetna | Commercial | $9,789.05 | ↓ -29% |
| UPMC Work Partners | Workers Comp | $9,832.71 | ↓ -29% |
| Geisinger | Medicaid/CHIP | $12,638.45 | ↓ -8% |
| InterGroup | PPO | $14,936.35 | ↑ +8% |
| UPMC Health Plan | CHIP | $16,085.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $17,280.21 | ↑ +25% |
| Wellspan Population Health | Commercial | $19,532.15 | ↑ +42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $23,986.14 | ↑ +74% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $24,347.14 | ↑ +77% |
| Humana | Medicare | $24,955.27 | ↑ +81% |
| Aetna | Medicare | $25,270.24 | ↑ +83% |
| Capital Blue Cross | Commercial | $25,320.38 | ↑ +84% |
| Capital Blue Cross | CHIP | $25,320.38 | ↑ +84% |
| Cigna | Medicare | $25,439.84 | ↑ +85% |
| United Healthcare | Medicare | $25,924.41 | ↑ +88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $26,166.69 | ↑ +90% |
| Keystone Health Plan | Commercial | $26,586.40 | ↑ +93% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Porfimer sodium injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $13,787.40 | $3,148.12 – $38,765.47 |
| UPMC Hanover | Hanover | $13,787.40 | $23,986.14 – $38,765.47 |
| UPMC Lititz | Lititz | $13,787.40 | $23,986.14 – $38,765.47 |
| UPMC Magee | Pittsburgh | $105,045.60 | $4,829.04 – $26,166.69 |
| UPMC Memorial | York | $13,787.40 | $3,898.75 – $38,765.47 |
| UPMC Mercy | Pittsburgh | $90,741.60 | $4,783.49 – $26,651.26 |
| UPMC Passavant-McCandless | Pittsburgh | $105,045.60 | $4,829.04 – $26,651.26 |
| UPMC Presbyterian | Pittsburgh | $105,045.60 | $4,829.04 – $26,651.26 |