Trnscath tx thromblytc art/ven sbsq day at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$5,324.40
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.
$8,874.00
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.
$261.95 with United Healthcare Community Plan for Families vs $7,542.90 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 | $261.95 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $373.34 | ↓ -93% |
| Highmark BCBS of PA | CHIP | $879.76 | ↓ -83% |
| Highmark BCBS of PA | Commercial | $879.76 | ↓ -83% |
| Keystone Health Plan | Medicare Advantage | $1,774.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,774.80 | ↓ -67% |
| Prime Net | Managed Medicare | $2,147.51 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,065.17 | ↓ -42% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $3,111.30 | ↓ -42% |
| Humana | Medicare | $3,189.01 | ↓ -40% |
| Aetna | Medicare | $3,229.26 | ↓ -39% |
| Cigna | Medicare | $3,250.94 | ↓ -39% |
| United Healthcare | Medicare | $3,312.86 | ↓ -38% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,343.82 | ↓ -37% |
| Aetna | ACO | $3,737.00 | ↓ -30% |
| Aetna | PEBTF ACO | $4,126.00 | ↓ -23% |
| Aetna | Commercial | $4,854.00 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $4,880.70 | ↓ -8% |
| InterGroup | PPO | $5,768.10 | ↑ +8% |
| UPMC Health Plan | CHIP | $6,211.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $6,673.25 | ↑ +25% |
| Capital Blue Cross | Commercial | $7,348.95 | ↑ +38% |
| Capital Blue Cross | CHIP | $7,348.95 | ↑ +38% |
| Keystone Health Plan | Commercial | $7,348.95 | ↑ +38% |
| Wellspan Population Health | Commercial | $7,542.90 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
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Trnscath tx thromblytc art/ven sbsq day at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,954.40 | $213.13 – $7,939.20 |
| UPMC Carlisle | Carlisle | $5,324.40 | $261.95 – $7,542.90 |
| UPMC East | Monroeville | $6,768.60 | $215.16 – $9,024.80 |
| UPMC Hamot | Erie | $5,359.80 | $213.13 – $4,364.40 |
| UPMC Hanover | Hanover | $5,324.40 | $261.95 – $4,810.90 |
| UPMC Jameson | New Castle | $951.60 | $216.89 – $4,051.03 |
| UPMC Lititz | Lititz | $5,324.40 | $261.95 – $4,836.88 |
| UPMC Memorial | York | $5,324.40 | $173.71 – $4,829.02 |