Rerepair ing hernia blocked at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$5,185.20
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.
$8,642.00
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.
$1,016.56 with United Healthcare Community Plan for Families vs $7,348.95 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $1,491.15 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $1,728.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,728.40 | ↓ -67% |
| Prime Net | Managed Medicare | $2,091.36 | ↓ -60% |
| Aetna | ACO | $4,374.00 | ↓ -16% |
| Geisinger | Medicaid/CHIP | $4,753.10 | ↓ -8% |
| Aetna | PEBTF ACO | $4,829.00 | ↓ -7% |
| UPMC Health Plan | CHIP | $5,151.89 | ↓ -1% |
| InterGroup | PPO | $5,617.30 | ↑ +8% |
| Aetna | Commercial | $5,681.00 | ↑ +10% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $6,076.54 | ↑ +17% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $6,168.00 | ↑ +19% |
| Humana | Medicare | $6,322.06 | ↑ +22% |
| Aetna | Medicare | $6,401.85 | ↑ +23% |
| Cigna | Medicare | $6,444.82 | ↑ +24% |
| Prime Net | FH-Medical Rental | $6,498.78 | ↑ +25% |
| United Healthcare | Medicare | $6,567.57 | ↑ +27% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6,628.95 | ↑ +28% |
| Highmark BCBS of PA | Commercial | $6,734.26 | ↑ +30% |
| Highmark BCBS of PA | CHIP | $6,734.26 | ↑ +30% |
| Wellspan Population Health | Commercial | $7,345.70 | ↑ +42% |
| Capital Blue Cross | CHIP | $7,348.95 | ↑ +42% |
| Capital Blue Cross | Commercial | $7,348.95 | ↑ +42% |
| Keystone Health Plan | Commercial | $7,348.95 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Rerepair ing hernia blocked at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,185.20 | $1,016.56 – $9,550.51 |
| UPMC Cole | Coudersport | $1,417.80 | $655.02 – $2,325.85 |
| UPMC Hanover | Hanover | $5,185.20 | $1,016.56 – $9,537.33 |
| UPMC Lititz | Lititz | $5,185.20 | $1,016.56 – $9,588.85 |
| UPMC Memorial | York | $5,185.20 | $1,016.56 – $9,573.28 |
| UPMC Somerset | Somerset | $5,185.20 | $892.40 – $6,424.16 |
| Uniontown Hospital | Uniontown | $2,740.00 | $205.80 – $13,032.74 |
| UPMC Hamot | Erie | not published | $1,519.03 – $7,414.98 |