Thyroid met uptake at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$407.40
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.
$679.00
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.
$23.67 with United Healthcare Community Plan for Families vs $577.15 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 | $23.67 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $38.25 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $41.02 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $43.87 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $51.33 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $65.02 | ↓ -84% |
| UPMC Health Plan | CHIP | $119.17 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $135.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $135.80 | ↓ -67% |
| Prime Net | Managed Medicare | $164.32 | ↓ -60% |
| Aetna | Medicare | $170.43 | ↓ -58% |
| Highmark BCBS of PA | CHIP | $242.39 | ↓ -41% |
| Highmark BCBS of PA | Commercial | $242.39 | ↓ -41% |
| Keystone Health Plan | Commercial | $290.18 | ↓ -29% |
| Capital Blue Cross | Commercial | $290.18 | ↓ -29% |
| Capital Blue Cross | CHIP | $290.18 | ↓ -29% |
| Aetna | ACO | $399.93 | ↓ -2% |
| Aetna | PEBTF ACO | $424.38 | ↑ +4% |
| InterGroup | PPO | $441.35 | ↑ +8% |
| Aetna | Commercial | $499.74 | ↑ +23% |
| Prime Net | FH-Medical Rental | $510.61 | ↑ +25% |
| Wellspan Population Health | Commercial | $577.15 | ↑ +42% |
Visitor-reported prices
Comments
Thyroid met uptake at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $407.40 | $23.67 – $577.15 |
| UPMC Hanover | Hanover | $407.40 | $23.67 – $65.02 |
| UPMC Lititz | Lititz | $407.40 | $23.67 – $69.32 |
| UPMC Magee | Pittsburgh | $213.60 | $33.13 – $62.13 |
| UPMC Memorial | York | $407.40 | $23.67 – $369.38 |
| UPMC Passavant-McCandless | Pittsburgh | $288.60 | $33.13 – $72.24 |
| UPMC Presbyterian | Pittsburgh | $2,370.00 | $21.68 – $80.68 |
| UPMC Somerset | Somerset | $407.40 | $20.78 – $62.13 |