Unlisted laparoscopic reduction intestine 44238 at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$3,467.40
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.
$5,779.00
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.
$4,165.03 with United Healthcare Community Plan for Families vs $11,127.90 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 | $4,165.03 | ↑ +20% |
| InterGroup | PPO | $4,912.15 | ↑ +42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $5,681.75 | ↑ +64% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $5,767.26 | ↑ +66% |
| Humana | Medicare | $5,911.31 | ↑ +70% |
| Aetna | Medicare | $5,985.92 | ↑ +73% |
| Cigna | Medicare | $6,026.10 | ↑ +74% |
| United Healthcare | Medicare | $6,140.88 | ↑ +77% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6,198.27 | ↑ +79% |
| Capital Blue Cross | CHIP | $11,127.90 | ↑ +221% |
| Keystone Health Plan | Commercial | $11,127.90 | ↑ +221% |
| Capital Blue Cross | Commercial | $11,127.90 | ↑ +221% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted laparoscopic reduction intestine 44238 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Somerset | Somerset | $3,467.40 | not published |
| UPMC Carlisle | Carlisle | not published | $3,069.70 – $8,930.03 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $3,206.58 – $18,623.45 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $3,877.86 – $15,982.03 |
| UPMC East | Monroeville | not published | $5,577.38 – $6,118.60 |
| UPMC Magee | Pittsburgh | not published | $5,205.81 – $6,118.60 |
| UPMC Mercy | Pittsburgh | not published | $4,636.78 – $6,118.60 |
| UPMC Presbyterian | Pittsburgh | not published | $3,815.29 – $6,118.60 |