Rmvl pq iabp at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$243.00
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.
?
What you pay up front if you don't use insurance.
$405.00
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.
$42.16 with United Healthcare Community Plan for Families vs $23,763.60 with Capital Blue Cross — 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 | $42.16 | ↓ -83% |
| Keystone Health Plan | Medicare Advantage | $81.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $81.00 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $85.20 | ↓ -65% |
| Prime Net | Managed Medicare | $98.01 | ↓ -60% |
| Aetna | Medicare | $101.66 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $222.75 | ↓ -8% |
| InterGroup | PPO | $263.25 | ↑ +8% |
| Highmark BCBS of PA | CHIP | $263.79 | ↑ +9% |
| Highmark BCBS of PA | Commercial | $263.79 | ↑ +9% |
| UPMC Health Plan | CHIP | $283.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $304.56 | ↑ +25% |
| Wellspan Population Health | Commercial | $344.25 | ↑ +42% |
| Aetna | ACO | $1,633.00 | ↑ +572% |
| Aetna | PEBTF ACO | $1,802.00 | ↑ +642% |
| Aetna | Commercial | $2,120.00 | ↑ +772% |
| Keystone Health Plan | Commercial | $15,803.55 | ↑ +6404% |
| Capital Blue Cross | Commercial | $23,763.60 | ↑ +9679% |
| Capital Blue Cross | CHIP | $23,763.60 | ↑ +9679% |
Visitor-reported prices
Comments
Rmvl pq iabp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $243.00 | $42.16 – $17,298.00 |
| UPMC Hamot | Erie | $356.40 | $63.91 – $82.35 |
| UPMC Hanover | Hanover | $243.00 | $42.16 – $85.20 |
| UPMC Lititz | Lititz | $243.00 | $35.27 – $85.20 |
| UPMC Magee | Pittsburgh | $3,052.80 | $38.80 – $81.42 |
| UPMC Memorial | York | $243.00 | $35.27 – $85.20 |
| UPMC Passavant-McCandless | Pittsburgh | $358.20 | $64.51 – $94.67 |
| UPMC Somerset | Somerset | $243.00 | $37.01 – $81.42 |