Tl-201 thallium diag per mci at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$391.80
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.
$653.00
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.
$15.20 with Keystone Health Plan vs $179.86 with Keystone Health Plan — 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 | $15.20 | ↓ -96% |
| Capital Blue Cross | Medicare Advantage | $15.20 | ↓ -96% |
| Prime Net | Managed Medicare | $18.39 | ↓ -95% |
| Aetna | Medicare | $19.08 | ↓ -95% |
| Aetna | ACO | $25.92 | ↓ -93% |
| Aetna | PEBTF ACO | $27.51 | ↓ -93% |
| Aetna | Commercial | $32.38 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $41.80 | ↓ -89% |
| InterGroup | PPO | $49.40 | ↓ -87% |
| Prime Net | FH-Medical Rental | $57.15 | ↓ -85% |
| Wellspan Population Health | Commercial | $64.60 | ↓ -84% |
| Highmark BCBS of PA | Commercial | $125.29 | ↓ -68% |
| Highmark BCBS of PA | CHIP | $125.29 | ↓ -68% |
| UPMC Health Plan | CHIP | $169.85 | ↓ -57% |
| Capital Blue Cross | CHIP | $171.29 | ↓ -56% |
| Capital Blue Cross | Commercial | $171.29 | ↓ -56% |
| Keystone Health Plan | Commercial | $179.86 | ↓ -54% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tl-201 thallium diag per mci at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $45.60 | $10.41 – $64.60 |
| UPMC Cole | Coudersport | $181.20 | $37.23 – $241.60 |
| UPMC East | Monroeville | $495.00 | $43.02 – $660.00 |
| UPMC Hamot | Erie | $133.80 | $37.23 – $250.50 |
| UPMC Hanover | Hanover | $45.60 | $46.97 – $169.85 |
| UPMC Horizon-Greenville | Greenville | $439.20 | $43.02 – $191.77 |
| UPMC Jameson | New Castle | $100.20 | $33.31 – $169.85 |
| UPMC Lititz | Lititz | $45.60 | $33.31 – $169.85 |