Prq revasc byp graft addl at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$11,988.60
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.
$19,981.00
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.
$314.03 with United Healthcare Community Plan for Families vs $40,144.65 with Capital Blue Cross — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $314.03 | ↓ -97% |
| Aetna | ACO | $1,633.00 | ↓ -86% |
| Highmark BCBS of PA | Commercial | $1,764.58 | ↓ -85% |
| Highmark BCBS of PA | CHIP | $1,764.58 | ↓ -85% |
| Aetna | PEBTF ACO | $1,802.00 | ↓ -85% |
| Aetna | Commercial | $2,120.00 | ↓ -82% |
| Capital Blue Cross | Medicare Advantage | $3,996.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $3,996.20 | ↓ -67% |
| Prime Net | Managed Medicare | $4,835.40 | ↓ -60% |
| Aetna | Medicare | $5,015.23 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $10,989.55 | ↓ -8% |
| InterGroup | PPO | $12,987.65 | ↑ +8% |
| UPMC Health Plan | CHIP | $13,986.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $15,025.71 | ↑ +25% |
| Wellspan Population Health | Commercial | $16,983.85 | ↑ +42% |
| Keystone Health Plan | Commercial | $40,144.65 | ↑ +235% |
| Capital Blue Cross | Commercial | $40,144.65 | ↑ +235% |
| Capital Blue Cross | CHIP | $40,144.65 | ↑ +235% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Prq revasc byp graft addl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $11,988.60 | $314.03 – $17,298.00 |
| UPMC Hanover | Hanover | $11,988.60 | $314.03 – $314.03 |
| UPMC Lititz | Lititz | $11,988.60 | $314.03 – $314.03 |
| UPMC Memorial | York | $11,988.60 | $230.02 – $314.03 |
| UPMC Presbyterian | Pittsburgh | $32,550.60 | $284.91 – $287.66 |
| UPMC Somerset | Somerset | $11,988.60 | $275.68 – $279.37 |