Removal biliary drg cath at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,663.20
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.
?
What you pay up front if you don't use insurance.
$2,772.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$109.38 with AmeriHealth Caritas vs $3,135.30 with Keystone Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $109.38 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $110.35 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $118.01 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $138.07 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $541.61 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $554.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $554.40 | ↓ -67% |
| Prime Net | Managed Medicare | $670.82 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $913.04 | ↓ -45% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $926.78 | ↓ -44% |
| Humana | Medicare | $949.93 | ↓ -43% |
| Aetna | Medicare | $961.92 | ↓ -42% |
| Cigna | Medicare | $968.37 | ↓ -42% |
| United Healthcare | Medicare | $986.82 | ↓ -41% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $996.04 | ↓ -40% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -39% |
| Highmark BCBS of PA | CHIP | $1,115.32 | ↓ -33% |
| Highmark BCBS of PA | Commercial | $1,115.32 | ↓ -33% |
| Aetna | ACO | $1,633.00 | ↓ -2% |
| InterGroup | PPO | $1,801.80 | ↑ +8% |
| Aetna | PEBTF ACO | $1,802.00 | ↑ +8% |
| Prime Net | FH-Medical Rental | $2,084.54 | ↑ +25% |
| Aetna | Commercial | $2,120.00 | ↑ +27% |
| Wellspan Population Health | Commercial | $2,356.20 | ↑ +42% |
| UPMC Health Plan | CHIP | $2,946.72 | ↑ +77% |
| Capital Blue Cross | Commercial | $3,135.30 | ↑ +89% |
| Capital Blue Cross | CHIP | $3,135.30 | ↑ +89% |
| Keystone Health Plan | Commercial | $3,135.30 | ↑ +89% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Removal biliary drg cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,851.00 | $81.02 – $2,468.00 |
| UPMC Carlisle | Carlisle | $1,663.20 | $102.90 – $2,356.20 |
| UPMC East | Monroeville | $3,018.60 | $89.12 – $4,024.80 |
| UPMC Hamot | Erie | $2,349.00 | $89.12 – $1,300.05 |
| UPMC Northwest | Seneca | $1,176.00 | $89.12 – $938.54 |
| UPMC Hanover | Hanover | $1,663.20 | $102.90 – $1,433.04 |
| UPMC Lititz | Lititz | $1,663.20 | $102.90 – $1,440.78 |
| UPMC McKeesport | Mckeesport | $2,457.00 | $89.12 – $983.24 |