Repair of bladder opening at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$619.20
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.
$1,032.00
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.
$89.60 with Keystone Health Plan 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $89.60 | ↓ -86% |
| Capital Blue Cross | Medicare Advantage | $89.60 | ↓ -86% |
| Prime Net | Managed Medicare | $108.42 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $246.40 | ↓ -60% |
| InterGroup | PPO | $291.20 | ↓ -53% |
| Prime Net | FH-Medical Rental | $336.90 | ↓ -46% |
| Wellspan Population Health | Commercial | $380.80 | ↓ -39% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↑ +64% |
| UPMC Work Partners | Workers Comp | $1,214.62 | ↑ +96% |
| Aetna | ACO | $1,633.00 | ↑ +164% |
| UPMC Health Plan | CHIP | $1,712.59 | ↑ +177% |
| Aetna | PEBTF ACO | $1,802.00 | ↑ +191% |
| Aetna | Commercial | $2,120.00 | ↑ +242% |
| Highmark BCBS of PA | Commercial | $2,249.82 | ↑ +263% |
| Highmark BCBS of PA | CHIP | $2,249.82 | ↑ +263% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,358.75 | ↑ +442% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $3,409.30 | ↑ +451% |
| Humana | Medicare | $3,494.46 | ↑ +464% |
| Aetna | Medicare | $3,538.57 | ↑ +471% |
| Cigna | Medicare | $3,562.31 | ↑ +475% |
| United Healthcare | Medicare | $3,630.17 | ↑ +486% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,664.09 | ↑ +492% |
| Keystone Health Plan | Commercial | $7,348.95 | ↑ +1087% |
| Capital Blue Cross | CHIP | $7,348.95 | ↑ +1087% |
| Capital Blue Cross | Commercial | $7,348.95 | ↑ +1087% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Repair of bladder opening at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $340.08 | $48.83 – $11,009.22 |
| GROVE CITY HOSPITAL | GROVE CITY | $300.84 | $30.46 – $9,447.74 |
| UPMC Somerset | Somerset | $619.20 | $439.21 – $3,288.18 |