Transcatheter bx s&i at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$6,169.80
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.
$10,283.00
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.
$13.10 with United Healthcare Community Plan for Families vs $8,740.55 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 | $13.10 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $22.23 | ↓ -100% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $23.84 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $25.49 | ↓ -100% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $29.82 | ↓ -100% |
| Premier Comp Solutions | Worker's Comp | $1,119.67 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $1,137.12 | ↓ -82% |
| UPMC Health Plan | CHIP | $1,721.27 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $2,056.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $2,056.60 | ↓ -67% |
| Highmark BCBS of PA | Commercial | $2,380.13 | ↓ -61% |
| Highmark BCBS of PA | CHIP | $2,380.13 | ↓ -61% |
| Keystone Health Plan | Commercial | $2,441.81 | ↓ -60% |
| Capital Blue Cross | Commercial | $2,441.81 | ↓ -60% |
| Capital Blue Cross | CHIP | $2,441.81 | ↓ -60% |
| Prime Net | Managed Medicare | $2,488.49 | ↓ -60% |
| Aetna | Medicare | $2,581.03 | ↓ -58% |
| Aetna | ACO | $6,056.69 | ↓ -2% |
| Aetna | PEBTF ACO | $6,426.88 | ↑ +4% |
| InterGroup | PPO | $6,683.95 | ↑ +8% |
| Aetna | Commercial | $7,568.29 | ↑ +23% |
| Prime Net | FH-Medical Rental | $7,732.82 | ↑ +25% |
| Wellspan Population Health | Commercial | $8,740.55 | ↑ +42% |
Visitor-reported prices
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Transcatheter bx s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,331.20 | $10.00 – $4,441.60 |
| UPMC Carlisle | Carlisle | $6,169.80 | $13.10 – $8,740.55 |
| UPMC Hamot | Erie | $1,911.60 | $19.25 – $1,174.76 |
| UPMC Hanover | Hanover | $6,169.80 | $13.10 – $1,137.12 |
| UPMC Lititz | Lititz | $6,169.80 | $13.10 – $1,119.67 |
| UPMC Magee | Pittsburgh | $2,271.60 | $19.25 – $1,174.76 |
| UPMC Memorial | York | $6,169.80 | $13.10 – $3,108.22 |
| UPMC Mercy | Pittsburgh | $2,360.40 | $19.25 – $1,195.62 |