Pr incision & drainage abscess simple/single at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$510.60
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.
?
What you pay up front if you don't use insurance.
$851.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$29.84 with AmeriHealth Caritas vs $2,120.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $29.84 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $32.01 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $34.23 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $40.05 | ↓ -92% |
| Capital Blue Cross | Medicare Advantage | $123.80 | ↓ -76% |
| Keystone Health Plan | Medicare Advantage | $123.80 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $148.20 | ↓ -71% |
| Prime Net | Managed Medicare | $149.80 | ↓ -71% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $193.51 | ↓ -62% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $196.42 | ↓ -62% |
| Humana | Medicare | $201.32 | ↓ -61% |
| Aetna | Medicare | $203.86 | ↓ -60% |
| Cigna | Medicare | $205.23 | ↓ -60% |
| United Healthcare | Medicare | $209.14 | ↓ -59% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $211.10 | ↓ -59% |
| InterGroup | PPO | $351.90 | ↓ -31% |
| UPMC Health Plan | CHIP | $402.14 | ↓ -21% |
| Prime Net | FH-Medical Rental | $465.49 | ↓ -9% |
| Wellspan Population Health | Commercial | $526.15 | ↑ +3% |
| Highmark BCBS of PA | Commercial | $537.10 | ↑ +5% |
| Highmark BCBS of PA | CHIP | $537.10 | ↑ +5% |
| United Healthcare Community Plan for Families | PA Medicaid | $810.89 | ↑ +59% |
| Capital Blue Cross | Commercial | $1,471.05 | ↑ +188% |
| Capital Blue Cross | CHIP | $1,471.05 | ↑ +188% |
| Keystone Health Plan | Commercial | $1,471.05 | ↑ +188% |
| Aetna | ACO | $1,633.00 | ↑ +220% |
| Aetna | PEBTF ACO | $1,802.00 | ↑ +253% |
| Aetna | Commercial | $2,120.00 | ↑ +315% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pr incision & drainage abscess simple/single at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $518.40 | $23.50 – $691.20 |
| UPMC Bedford | Everett | $324.00 | $24.68 – $486.00 |
| UPMC Carlisle | Carlisle | $510.60 | $29.84 – $810.89 |
| UPMC Cole | Coudersport | $371.40 | $24.39 – $2,094.25 |
| UPMC East | Monroeville | $543.60 | $25.85 – $724.80 |
| UPMC Hamot | Erie | $543.00 | $25.85 – $275.52 |
| UPMC Northwest | Seneca | $431.40 | $25.85 – $198.91 |
| UPMC Hanover | Hanover | $510.60 | $29.84 – $810.89 |