Removal/replacement ppm generator dual lead system at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$19,161.00
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.
$31,935.00
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.
$542.62 with UPMC Work Partners vs $27,144.75 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $542.62 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -95% |
| Highmark BCBS of PA | Commercial | $1,848.99 | ↓ -90% |
| Highmark BCBS of PA | CHIP | $1,848.99 | ↓ -90% |
| Aetna | ACO | $3,737.00 | ↓ -80% |
| Aetna | PEBTF ACO | $4,126.00 | ↓ -78% |
| Aetna | Commercial | $4,854.00 | ↓ -75% |
| Keystone Health Plan | Medicare Advantage | $6,387.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $6,387.00 | ↓ -67% |
| Prime Net | Managed Medicare | $7,728.27 | ↓ -60% |
| Aetna | Medicare | $8,015.69 | ↓ -58% |
| Keystone Health Plan | Commercial | $15,803.55 | ↓ -18% |
| Geisinger | Medicaid/CHIP | $17,564.25 | ↓ -8% |
| InterGroup | PPO | $20,757.75 | ↑ +8% |
| Capital Blue Cross | Commercial | $23,763.60 | ↑ +24% |
| Capital Blue Cross | CHIP | $23,763.60 | ↑ +24% |
| Prime Net | FH-Medical Rental | $24,015.12 | ↑ +25% |
| UPMC Health Plan | CHIP | $26,238.52 | ↑ +37% |
| Wellspan Population Health | Commercial | $27,144.75 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Removal/replacement ppm generator dual lead system at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,816.40 | $447.93 – $10,775.64 |
| UPMC Carlisle | Carlisle | $19,161.00 | $542.62 – $27,144.75 |
| UPMC Cole | Coudersport | $7,452.00 | $294.11 – $3,477.60 |
| UPMC East | Monroeville | $30,141.60 | $452.20 – $40,188.80 |
| UPMC Hamot | Erie | $9,586.80 | $447.93 – $14,511.47 |
| UPMC Hanover | Hanover | $19,161.00 | $542.62 – $26,238.52 |
| UPMC Jameson | New Castle | $13,717.80 | $455.84 – $13,469.54 |
| UPMC Lititz | Lititz | $19,161.00 | $379.69 – $26,238.52 |