Thoracotomy with cardiac massage at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$3,385.80
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.
$5,643.00
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.
$750.07 with United Healthcare Community Plan for Families vs $23,763.60 with Capital Blue Cross — 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 | $750.07 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $1,128.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,128.60 | ↓ -67% |
| Prime Net | Managed Medicare | $1,365.61 | ↓ -60% |
| Aetna | Medicare | $1,416.39 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $2,522.66 | ↓ -25% |
| UPMC Health Plan | CHIP | $2,716.56 | ↓ -20% |
| Aetna | ACO | $2,770.71 | ↓ -18% |
| Aetna | PEBTF ACO | $2,940.00 | ↓ -13% |
| Geisinger | Medicaid/CHIP | $3,103.65 | ↓ -8% |
| Aetna | Commercial | $3,459.16 | ↑ +2% |
| InterGroup | PPO | $3,667.95 | ↑ +8% |
| Prime Net | FH-Medical Rental | $4,243.54 | ↑ +25% |
| Highmark BCBS of PA | Commercial | $4,395.36 | ↑ +30% |
| Highmark BCBS of PA | CHIP | $4,395.36 | ↑ +30% |
| Wellspan Population Health | Commercial | $4,796.55 | ↑ +42% |
| Keystone Health Plan | Commercial | $23,763.60 | ↑ +602% |
| Capital Blue Cross | Commercial | $23,763.60 | ↑ +602% |
| Capital Blue Cross | CHIP | $23,763.60 | ↑ +602% |
Visitor-reported prices
Comments
Thoracotomy with cardiac massage at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,385.80 | $750.07 – $4,796.55 |
| UPMC Hamot | Erie | $6,357.60 | $1,064.81 – $3,372.71 |
| UPMC Hanover | Hanover | $3,385.80 | $750.07 – $2,716.56 |
| UPMC Jameson | New Castle | $1,897.20 | $658.46 – $2,716.56 |
| UPMC Lititz | Lititz | $3,385.80 | $750.07 – $2,716.56 |
| UPMC Memorial | York | $3,385.80 | $750.07 – $2,716.56 |
| UPMC Mercy | Pittsburgh | $2,671.20 | $1,064.81 – $2,615.34 |
| UPMC Presbyterian | Pittsburgh | $8,094.60 | $687.08 – $3,041.09 |