Punc of shunt for asp or inj at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$2,015.40
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.
$3,359.00
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.
$87.75 with AmeriHealth Caritas vs $2,828.80 with Wellspan Population Health — 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 | $87.75 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $88.53 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $94.68 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $110.77 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $188.39 | ↓ -91% |
| Capital Blue Cross | Medicare Advantage | $665.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $665.60 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $674.41 | ↓ -67% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $684.56 | ↓ -66% |
| Humana | Medicare | $701.66 | ↓ -65% |
| Aetna | Medicare | $710.51 | ↓ -65% |
| Cigna | Medicare | $715.28 | ↓ -65% |
| United Healthcare | Medicare | $728.91 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $735.72 | ↓ -63% |
| Prime Net | Managed Medicare | $805.38 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -50% |
| Aetna | ACO | $1,633.00 | ↓ -19% |
| UPMC Health Plan | CHIP | $1,712.93 | ↓ -15% |
| Aetna | PEBTF ACO | $1,802.00 | ↓ -11% |
| Aetna | Commercial | $2,120.00 | ↑ +5% |
| InterGroup | PPO | $2,163.20 | ↑ +7% |
| Highmark BCBS of PA | Commercial | $2,249.82 | ↑ +12% |
| Highmark BCBS of PA | CHIP | $2,249.82 | ↑ +12% |
| Prime Net | FH-Medical Rental | $2,502.66 | ↑ +24% |
| Keystone Health Plan | Commercial | $2,656.50 | ↑ +32% |
| Capital Blue Cross | Commercial | $2,656.50 | ↑ +32% |
| Capital Blue Cross | CHIP | $2,656.50 | ↑ +32% |
| Wellspan Population Health | Commercial | $2,828.80 | ↑ +40% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Punc of shunt for asp or inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,015.40 | $82.55 – $2,828.80 |
| UPMC Cole | Coudersport | $98.40 | $45.46 – $771.51 |
| UPMC Hanover | Hanover | $2,015.40 | $82.55 – $1,058.50 |
| UPMC Lititz | Lititz | $2,015.40 | $82.55 – $1,064.22 |
| UPMC Magee | Pittsburgh | $3,119.40 | $71.50 – $713.05 |
| UPMC Memorial | York | $2,015.40 | $82.55 – $1,062.50 |
| UPMC Mercy | Pittsburgh | $2,098.80 | $71.50 – $726.25 |
| UPMC Presbyterian | Pittsburgh | $3,123.60 | $71.50 – $931.20 |