Tixagev and cilgav inj at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$309.60
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.
$516.00
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.
$56.48 with Highmark BCBS of PA vs $438.60 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 |
|---|---|---|---|
| Highmark BCBS of PA | Commercial | $56.48 | ↓ -82% |
| Highmark BCBS of PA | CHIP | $56.48 | ↓ -82% |
| Capital Blue Cross | Medicare Advantage | $103.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $103.20 | ↓ -67% |
| Prime Net | Managed Medicare | $124.87 | ↓ -60% |
| Aetna | Medicare | $129.52 | ↓ -58% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $152.91 | ↓ -51% |
| United Healthcare Community Plan for Families | PA Medicaid | $157.72 | ↓ -49% |
| UPMC Work Partners | Workers Comp | $161.24 | ↓ -48% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $163.98 | ↓ -47% |
| Geisinger | Medicaid/CHIP | $175.37 | ↓ -43% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $205.19 | ↓ -34% |
| Aetna | ACO | $253.36 | ↓ -18% |
| Aetna | PEBTF ACO | $268.84 | ↓ -13% |
| UPMC Health Plan | CHIP | $280.00 | ↓ -10% |
| Capital Blue Cross | CHIP | $285.19 | ↓ -8% |
| Capital Blue Cross | Commercial | $285.19 | ↓ -8% |
| Keystone Health Plan | Commercial | $299.43 | ↓ -3% |
| Aetna | Commercial | $316.31 | ↑ +2% |
| InterGroup | PPO | $335.40 | ↑ +8% |
| Prime Net | FH-Medical Rental | $388.03 | ↑ +25% |
| Wellspan Population Health | Commercial | $438.60 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Tixagev and cilgav inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,020.00 | $33.92 – $1,360.00 |
| UPMC Bedford | Everett | $1,020.00 | $94.07 – $1,530.00 |
| UPMC Carlisle | Carlisle | $309.60 | $70.69 – $438.60 |
| UPMC Cole | Coudersport | $1,020.00 | $126.42 – $1,360.00 |
| UPMC East | Monroeville | $1,020.00 | $34.25 – $1,360.00 |
| UPMC Hamot | Erie | $1,020.00 | $33.92 – $317.21 |
| UPMC Northwest | Seneca | $1,020.00 | $88.04 – $205.19 |
| UPMC Hanover | Hanover | $309.60 | $152.91 – $205.19 |