Unlisted fetal invas px w/us at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$348.60
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.
$581.00
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.
$116.20 with Keystone Health Plan vs $2,120.00 with Aetna — 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 | $116.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $116.20 | ↓ -67% |
| Prime Net | Managed Medicare | $140.60 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $142.34 | ↓ -59% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $195.91 | ↓ -44% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $198.86 | ↓ -43% |
| Humana | Medicare | $203.83 | ↓ -42% |
| Aetna | Medicare | $206.40 | ↓ -41% |
| Cigna | Medicare | $207.78 | ↓ -40% |
| United Healthcare | Medicare | $211.74 | ↓ -39% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $213.72 | ↓ -39% |
| Geisinger | Medicaid/CHIP | $319.55 | ↓ -8% |
| InterGroup | PPO | $377.65 | ↑ +8% |
| UPMC Health Plan | CHIP | $406.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $436.91 | ↑ +25% |
| Wellspan Population Health | Commercial | $493.85 | ↑ +42% |
| Capital Blue Cross | CHIP | $1,471.05 | ↑ +322% |
| Capital Blue Cross | Commercial | $1,471.05 | ↑ +322% |
| Keystone Health Plan | Commercial | $1,471.05 | ↑ +322% |
| Aetna | ACO | $1,633.00 | ↑ +368% |
| Aetna | PEBTF ACO | $1,802.00 | ↑ +417% |
| Aetna | Commercial | $2,120.00 | ↑ +508% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted fetal invas px w/us at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $348.60 | $79.60 – $493.85 |
| UPMC Hanover | Hanover | $348.60 | $142.34 – $307.49 |
| UPMC Lititz | Lititz | $348.60 | $142.34 – $309.15 |
| UPMC Magee | Pittsburgh | $357.60 | $179.50 – $210.97 |
| UPMC Memorial | York | $348.60 | $142.34 – $638.96 |
| UPMC Somerset | Somerset | $348.60 | $124.96 – $207.11 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $110.56 – $642.14 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $133.71 – $551.06 |