Pyruvate kinase at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$33.60
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.
$56.00
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.
$8.00 with AmeriHealth Caritas vs $102.55 with Highmark BCBS of PA — 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 | $8.00 | ↓ -76% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $9.35 | ↓ -72% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $9.49 | ↓ -72% |
| Humana | Medicare | $9.72 | ↓ -71% |
| UPMC Work Partners | Workers Comp | $9.77 | ↓ -71% |
| Aetna | Medicare | $9.85 | ↓ -71% |
| Cigna | Medicare | $9.91 | ↓ -71% |
| United Healthcare | Medicare | $10.10 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $10.20 | ↓ -70% |
| United Healthcare Community Plan for Families | PA Medicaid | $10.48 | ↓ -69% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $10.90 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $11.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $11.20 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $11.65 | ↓ -65% |
| Prime Net | Managed Medicare | $13.55 | ↓ -60% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $13.63 | ↓ -59% |
| Aetna | ACO | $32.98 | ↓ -2% |
| Aetna | PEBTF ACO | $35.00 | ↑ +4% |
| InterGroup | PPO | $36.40 | ↑ +8% |
| Aetna | Commercial | $41.22 | ↑ +23% |
| Prime Net | FH-Medical Rental | $42.11 | ↑ +25% |
| Wellspan Population Health | Commercial | $47.60 | ↑ +42% |
| Capital Blue Cross | Commercial | $55.13 | ↑ +64% |
| Keystone Health Plan | Commercial | $55.13 | ↑ +64% |
| Capital Blue Cross | CHIP | $55.13 | ↑ +64% |
| UPMC Health Plan | CHIP | $66.58 | ↑ +98% |
| Highmark BCBS of PA | CHIP | $102.55 | ↑ +205% |
| Highmark BCBS of PA | Commercial | $102.55 | ↑ +205% |
Visitor-reported prices
Comments
Pyruvate kinase at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $127.80 | $8.00 – $170.40 |
| UPMC Carlisle | Carlisle | $33.60 | $7.67 – $47.60 |
| UPMC East | Monroeville | $147.60 | $8.00 – $196.80 |
| UPMC Hamot | Erie | $142.20 | $8.00 – $25.65 |
| UPMC Hanover | Hanover | $33.60 | $8.00 – $15.10 |
| UPMC Horizon-Greenville | Greenville | $97.20 | $8.00 – $17.71 |
| UPMC Lititz | Lititz | $33.60 | $8.00 – $15.10 |
| UPMC Magee | Pittsburgh | $85.80 | $8.80 – $25.90 |