Pr evaluation psychiatric diagnostic w/medical services at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$351.60
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.
$586.00
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.
$95.25 with AmeriHealth Caritas vs $1,917.65 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $95.25 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $98.25 | ↓ -72% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $102.15 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $109.20 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $109.20 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $109.25 | ↓ -69% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $127.81 | ↓ -64% |
| Prime Net | Managed Medicare | $132.13 | ↓ -62% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $156.47 | ↓ -55% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $158.82 | ↓ -55% |
| Humana | Medicare | $162.79 | ↓ -54% |
| Aetna | Medicare | $164.85 | ↓ -53% |
| Cigna | Medicare | $165.95 | ↓ -53% |
| United Healthcare | Medicare | $169.11 | ↓ -52% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $170.69 | ↓ -51% |
| UPMC Work Partners | Workers Comp | $183.61 | ↓ -48% |
| Aetna | ACO | $268.09 | ↓ -24% |
| Aetna | PEBTF ACO | $284.47 | ↓ -19% |
| Capital Blue Cross | CHIP | $301.77 | ↓ -14% |
| Capital Blue Cross | Commercial | $301.77 | ↓ -14% |
| Keystone Health Plan | Commercial | $316.84 | ↓ -10% |
| Aetna | Commercial | $334.70 | ↓ -5% |
| InterGroup | PPO | $354.90 | ↑ +1% |
| UPMC Health Plan | CHIP | $382.20 | ↑ +9% |
| Prime Net | FH-Medical Rental | $410.59 | ↑ +17% |
| Wellspan Population Health | Commercial | $464.10 | ↑ +32% |
| Highmark BCBS of PA | Commercial | $1,917.65 | ↑ +445% |
| Highmark BCBS of PA | CHIP | $1,917.65 | ↑ +445% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Pr evaluation psychiatric diagnostic w/medical services at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $642.00 | $82.50 – $309.62 |
| UPMC Somerset | Somerset | $351.60 | $82.50 – $175.45 |
| UPMC Western Psychiatric | Pittsburgh | $1,276.20 | $165.43 – $303.40 |
| Uniontown Hospital | Uniontown | $204.00 | $128.94 – $357.33 |