Tx l/r atrial fib addl at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$4,257.00
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.
$7,095.00
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.
$429.44 with United Healthcare Community Plan for Families vs $40,144.65 with Capital Blue Cross — 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 | $429.44 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $612.06 | ↓ -86% |
| UPMC Health Plan | CHIP | $733.99 | ↓ -83% |
| Keystone Health Plan | Medicare Advantage | $1,419.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,419.00 | ↓ -67% |
| Aetna | ACO | $1,633.00 | ↓ -62% |
| Prime Net | Managed Medicare | $1,716.99 | ↓ -60% |
| Aetna | Medicare | $1,780.85 | ↓ -58% |
| Aetna | PEBTF ACO | $1,802.00 | ↓ -58% |
| Aetna | Commercial | $2,120.00 | ↓ -50% |
| Highmark BCBS of PA | Commercial | $2,184.61 | ↓ -49% |
| Highmark BCBS of PA | CHIP | $2,184.61 | ↓ -49% |
| Geisinger | Medicaid/CHIP | $3,902.25 | ↓ -8% |
| InterGroup | PPO | $4,611.75 | ↑ +8% |
| Prime Net | FH-Medical Rental | $5,335.44 | ↑ +25% |
| Wellspan Population Health | Commercial | $6,030.75 | ↑ +42% |
| Keystone Health Plan | Commercial | $40,144.65 | ↑ +843% |
| Capital Blue Cross | Commercial | $40,144.65 | ↑ +843% |
| Capital Blue Cross | CHIP | $40,144.65 | ↑ +843% |
Visitor-reported prices
Comments
Tx l/r atrial fib addl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,599.20 | $349.40 – $7,465.60 |
| UPMC Carlisle | Carlisle | $4,257.00 | $429.44 – $17,298.00 |
| UPMC Hamot | Erie | $48,916.80 | $349.40 – $584.86 |
| UPMC Hanover | Hanover | $4,257.00 | $429.44 – $733.99 |
| UPMC Lititz | Lititz | $4,257.00 | $287.98 – $733.99 |
| UPMC Memorial | York | $4,257.00 | $284.77 – $733.99 |
| UPMC Passavant-McCandless | Pittsburgh | $48,183.60 | $352.73 – $1,065.11 |
| UPMC Presbyterian | Pittsburgh | $59,370.00 | $352.73 – $1,186.73 |