Resuscitation delivery/birthing room at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,017.00
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.
$1,695.00
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.
$119.18 with United Healthcare Community Plan for Families vs $2,088.58 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $119.18 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $233.87 | ↓ -77% |
| Capital Blue Cross | CHIP | $316.00 | ↓ -69% |
| Capital Blue Cross | Commercial | $316.00 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $339.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $339.00 | ↓ -67% |
| Prime Net | Managed Medicare | $410.19 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $637.26 | ↓ -37% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $646.85 | ↓ -36% |
| Humana | Medicare | $663.01 | ↓ -35% |
| Aetna | Medicare | $671.38 | ↓ -34% |
| Cigna | Medicare | $675.88 | ↓ -34% |
| United Healthcare | Medicare | $688.76 | ↓ -32% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $695.20 | ↓ -32% |
| Aetna | ACO | $832.25 | ↓ -18% |
| Aetna | PEBTF ACO | $883.10 | ↓ -13% |
| Geisinger | Medicaid/CHIP | $932.25 | ↓ -8% |
| Keystone Health Plan | Commercial | $983.61 | ↓ -3% |
| Aetna | Commercial | $1,039.04 | ↑ +2% |
| InterGroup | PPO | $1,101.75 | ↑ +8% |
| UPMC Health Plan | CHIP | $1,186.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,274.64 | ↑ +25% |
| Wellspan Population Health | Commercial | $1,440.75 | ↑ +42% |
| Highmark BCBS of PA | CHIP | $2,088.58 | ↑ +105% |
| Highmark BCBS of PA | Commercial | $2,088.58 | ↑ +105% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Resuscitation delivery/birthing room at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $726.60 | $153.51 – $968.80 |
| UPMC Hanover | Hanover | $1,017.00 | $119.18 – $1,000.21 |
| UPMC Somerset | Somerset | $1,017.00 | $104.63 – $673.72 |
| WellSpan Ephrata Community Hospital | Ephrata | $2,302.40 | $113.73 – $1,106.00 |
| WellSpan Gettysburg Hospital | Gettysburg | $182.40 | $113.73 – $1,172.71 |
| WellSpan Newberry Hospital | Etters | not published | not published |