Remove anal fist subq at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,015.20
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.
$1,692.00
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.
$286.88 with AmeriHealth Caritas vs $7,348.95 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $286.88 | ↓ -72% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $289.43 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $309.53 | ↓ -70% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $362.14 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $699.77 | ↓ -31% |
| United Healthcare Community Plan for Families | PA Medicaid | $949.75 | ↓ -6% |
| InterGroup | PPO | $1,438.20 | ↑ +42% |
| UPMC Health Plan | CHIP | $2,638.16 | ↑ +160% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,670.65 | ↑ +163% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2,710.85 | ↑ +167% |
| Humana | Medicare | $2,778.56 | ↑ +174% |
| Aetna | Medicare | $2,813.63 | ↑ +177% |
| Cigna | Medicare | $2,832.51 | ↑ +179% |
| United Healthcare | Medicare | $2,886.46 | ↑ +184% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,913.44 | ↑ +187% |
| Highmark BCBS of PA | CHIP | $3,454.83 | ↑ +240% |
| Highmark BCBS of PA | Commercial | $3,454.83 | ↑ +240% |
| Aetna | ACO | $3,737.00 | ↑ +268% |
| Aetna | PEBTF ACO | $4,126.00 | ↑ +306% |
| Aetna | Commercial | $4,854.00 | ↑ +378% |
| Keystone Health Plan | Commercial | $7,348.95 | ↑ +624% |
| Capital Blue Cross | Commercial | $7,348.95 | ↑ +624% |
| Capital Blue Cross | CHIP | $7,348.95 | ↑ +624% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Remove anal fist subq at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $670.80 | $223.12 – $1,192.92 |
| UPMC Somerset | Somerset | $1,015.20 | $233.75 – $2,614.54 |
| Uniontown Hospital | Uniontown | $944.50 | $205.80 – $5,587.82 |
| UPMC Altoona | Altoona | not published | $212.50 – $2,823.70 |
| UPMC East | Monroeville | not published | $233.75 – $2,875.99 |
| UPMC Hamot | Erie | not published | $233.75 – $3,802.67 |
| UPMC Northwest | Seneca | not published | $233.75 – $2,745.27 |
| UPMC Lititz | Lititz | not published | $269.88 – $4,214.34 |