Set radiation therapy field at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,029.00
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.
$1,715.00
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.
$66.81 with United Healthcare Community Plan for Families vs $1,457.75 with Wellspan Population Health — 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 | $66.81 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $107.95 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $115.77 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $123.81 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $144.86 | ↓ -86% |
| Capital Blue Cross | Medicare Advantage | $343.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $343.00 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $356.50 | ↓ -65% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $361.86 | ↓ -65% |
| Humana | Medicare | $370.90 | ↓ -64% |
| Aetna | Medicare | $375.58 | ↓ -64% |
| Cigna | Medicare | $378.11 | ↓ -63% |
| United Healthcare | Medicare | $385.31 | ↓ -63% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $388.91 | ↓ -62% |
| Prime Net | Managed Medicare | $415.03 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $636.60 | ↓ -38% |
| UPMC Health Plan | CHIP | $945.34 | ↓ -8% |
| Aetna | ACO | $1,010.13 | ↓ -2% |
| Aetna | PEBTF ACO | $1,071.88 | ↑ +4% |
| InterGroup | PPO | $1,114.75 | ↑ +8% |
| Aetna | Commercial | $1,262.24 | ↑ +23% |
| Keystone Health Plan | Commercial | $1,266.33 | ↑ +23% |
| Capital Blue Cross | Commercial | $1,266.33 | ↑ +23% |
| Capital Blue Cross | CHIP | $1,266.33 | ↑ +23% |
| Prime Net | FH-Medical Rental | $1,289.68 | ↑ +25% |
| Highmark BCBS of PA | Commercial | $1,326.54 | ↑ +29% |
| Highmark BCBS of PA | CHIP | $1,326.54 | ↑ +29% |
| Wellspan Population Health | Commercial | $1,457.75 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Set radiation therapy field at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,029.00 | $66.81 – $1,457.75 |
| UPMC East | Monroeville | $1,715.40 | $93.50 – $2,287.20 |
| UPMC Lititz | Lititz | $1,029.00 | $66.81 – $627.18 |
| UPMC Magee | Pittsburgh | $1,642.80 | $93.50 – $655.31 |
| UPMC Memorial | York | $1,029.00 | $66.81 – $1,611.94 |
| UPMC Presbyterian | Pittsburgh | $1,413.60 | $61.20 – $774.99 |
| UPMC Somerset | Somerset | $1,029.00 | $58.65 – $599.31 |
| UPMC Williamsport | Williamsport | $1,137.60 | $65.28 – $723.89 |