Pt re-evaluation patient/family at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$139.20
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.
$232.00
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.
$46.40 with Capital Blue Cross vs $307.65 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $46.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $46.40 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $52.78 | ↓ -62% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $54.76 | ↓ -61% |
| Prime Net | Managed Medicare | $56.14 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $56.49 | ↓ -59% |
| Aetna | Medicare | $58.23 | ↓ -58% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $58.73 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $62.81 | ↓ -55% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $73.49 | ↓ -47% |
| Highmark BCBS of PA | Commercial | $114.85 | ↓ -17% |
| Highmark BCBS of PA | CHIP | $114.85 | ↓ -17% |
| Aetna | ACO | $136.65 | ↓ -2% |
| Aetna | PEBTF ACO | $145.00 | ↑ +4% |
| InterGroup | PPO | $150.80 | ↑ +8% |
| UPMC Health Plan | CHIP | $155.57 | ↑ +12% |
| Aetna | Commercial | $170.75 | ↑ +23% |
| Prime Net | FH-Medical Rental | $174.46 | ↑ +25% |
| Wellspan Population Health | Commercial | $197.20 | ↑ +42% |
| Capital Blue Cross | Commercial | $307.65 | ↑ +121% |
| Keystone Health Plan | Commercial | $307.65 | ↑ +121% |
| Capital Blue Cross | CHIP | $307.65 | ↑ +121% |
Visitor-reported prices
Comments
Pt re-evaluation patient/family at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $113.40 | $34.95 – $151.20 |
| UPMC Bedford | Everett | $125.40 | $45.28 – $188.10 |
| UPMC Carlisle | Carlisle | $139.20 | $31.78 – $387.00 |
| UPMC Cole | Coudersport | $125.40 | $43.98 – $167.20 |
| UPMC East | Monroeville | $155.40 | $35.28 – $207.20 |
| UPMC Hamot | Erie | $121.20 | $34.95 – $121.18 |
| UPMC Northwest | Seneca | $105.00 | $47.43 – $90.70 |
| UPMC Hanover | Hanover | $139.20 | $52.78 – $148.00 |