Prq trluml c athrc 1 art&/br at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$17,281.80
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.
$28,803.00
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.
$962.87 with UPMC Work Partners vs $40,144.65 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $962.87 | ↓ -94% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -94% |
| Highmark BCBS of PA | Commercial | $3,143.78 | ↓ -82% |
| Highmark BCBS of PA | CHIP | $3,143.78 | ↓ -82% |
| Aetna | ACO | $5,180.00 | ↓ -70% |
| Aetna | PEBTF ACO | $5,718.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $5,760.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $5,760.60 | ↓ -67% |
| Aetna | Commercial | $6,727.00 | ↓ -61% |
| Prime Net | Managed Medicare | $6,970.33 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $11,043.94 | ↓ -36% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $11,210.15 | ↓ -35% |
| Humana | Medicare | $11,490.15 | ↓ -34% |
| Aetna | Medicare | $11,635.18 | ↓ -33% |
| Cigna | Medicare | $11,713.26 | ↓ -32% |
| United Healthcare | Medicare | $11,936.37 | ↓ -31% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $12,047.93 | ↓ -30% |
| Geisinger | Medicaid/CHIP | $15,841.65 | ↓ -8% |
| InterGroup | PPO | $18,721.95 | ↑ +8% |
| UPMC Health Plan | CHIP | $20,162.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $21,659.86 | ↑ +25% |
| Wellspan Population Health | Commercial | $24,482.55 | ↑ +42% |
| Capital Blue Cross | CHIP | $40,144.65 | ↑ +132% |
| Capital Blue Cross | Commercial | $40,144.65 | ↑ +132% |
| Keystone Health Plan | Commercial | $40,144.65 | ↑ +132% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Prq trluml c athrc 1 art&/br at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $8,632.80 | $502.81 – $11,510.40 |
| UPMC Carlisle | Carlisle | $17,281.80 | $962.87 – $24,482.55 |
| UPMC Hamot | Erie | $33,667.20 | $502.81 – $920.08 |
| UPMC Hanover | Hanover | $17,281.80 | $962.87 – $17,333.84 |
| UPMC Lititz | Lititz | $17,281.80 | $962.87 – $17,427.46 |
| UPMC Memorial | York | $17,281.80 | $409.81 – $17,399.15 |
| UPMC Passavant-McCandless | Pittsburgh | $33,162.60 | $507.59 – $11,893.06 |
| UPMC Presbyterian | Pittsburgh | $40,864.80 | $507.59 – $1,189.51 |