Scan duplex extremity veins unilateral/limited study at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$394.20
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.
$657.00
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.
$66.20 with Keystone Health Plan vs $658.39 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $66.20 | ↓ -83% |
| Capital Blue Cross | Medicare Advantage | $66.20 | ↓ -83% |
| Prime Net | Managed Medicare | $80.10 | ↓ -80% |
| United Healthcare Community Plan for Families | PA Medicaid | $102.97 | ↓ -74% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $103.55 | ↓ -74% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $105.11 | ↓ -73% |
| Humana | Medicare | $107.74 | ↓ -73% |
| Aetna | Medicare | $109.10 | ↓ -72% |
| Cigna | Medicare | $109.83 | ↓ -72% |
| United Healthcare | Medicare | $111.92 | ↓ -72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $112.97 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $126.75 | ↓ -68% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $135.93 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $145.37 | ↓ -63% |
| Aetna | ACO | $162.52 | ↓ -59% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $170.08 | ↓ -57% |
| Aetna | PEBTF ACO | $172.45 | ↓ -56% |
| Capital Blue Cross | CHIP | $182.94 | ↓ -54% |
| Capital Blue Cross | Commercial | $182.94 | ↓ -54% |
| Keystone Health Plan | Commercial | $192.08 | ↓ -51% |
| Aetna | Commercial | $202.90 | ↓ -49% |
| InterGroup | PPO | $215.15 | ↓ -45% |
| Prime Net | FH-Medical Rental | $248.91 | ↓ -37% |
| Wellspan Population Health | Commercial | $281.35 | ↓ -29% |
| UPMC Health Plan | CHIP | $335.05 | ↓ -15% |
| UPMC Work Partners | Workers Comp | $383.66 | ↓ -3% |
| Highmark BCBS of PA | CHIP | $658.39 | ↑ +67% |
| Highmark BCBS of PA | Commercial | $658.39 | ↑ +67% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Scan duplex extremity veins unilateral/limited study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $679.20 | $78.60 – $905.60 |
| UPMC Bedford | Everett | $335.40 | $36.58 – $503.10 |
| UPMC Carlisle | Carlisle | $394.20 | $90.01 – $558.45 |
| UPMC Cole | Coudersport | $397.80 | $104.79 – $388.80 |
| UPMC East | Monroeville | $543.60 | $101.65 – $724.80 |
| UPMC Hamot | Erie | $543.60 | $54.63 – $401.38 |
| UPMC Northwest | Seneca | $339.60 | $91.94 – $366.61 |
| UPMC Hanover | Hanover | $394.20 | $100.57 – $383.66 |