Venogram ext bil s&i at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$3,476.40
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.
?
What you pay up front if you don't use insurance.
$5,794.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$29.48 with United Healthcare Community Plan for Families vs $4,924.90 with Wellspan Population Health — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $29.48 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.62 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $51.08 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $54.62 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $63.91 | ↓ -98% |
| Premier Comp Solutions | Worker's Comp | $271.92 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $275.61 | ↓ -92% |
| UPMC Health Plan | CHIP | $415.46 | ↓ -88% |
| Capital Blue Cross | Commercial | $434.09 | ↓ -88% |
| Keystone Health Plan | Commercial | $434.09 | ↓ -88% |
| Capital Blue Cross | CHIP | $434.09 | ↓ -88% |
| Highmark BCBS of PA | CHIP | $567.08 | ↓ -84% |
| Highmark BCBS of PA | Commercial | $567.08 | ↓ -84% |
| Keystone Health Plan | Medicare Advantage | $1,158.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,158.80 | ↓ -67% |
| Prime Net | Managed Medicare | $1,402.15 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,512.81 | ↓ -56% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,535.58 | ↓ -56% |
| Humana | Medicare | $1,573.93 | ↓ -55% |
| Aetna | Medicare | $1,593.80 | ↓ -54% |
| Cigna | Medicare | $1,604.49 | ↓ -54% |
| United Healthcare | Medicare | $1,635.06 | ↓ -53% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,650.34 | ↓ -53% |
| Aetna | ACO | $3,412.67 | ↓ -2% |
| Aetna | PEBTF ACO | $3,621.25 | ↑ +4% |
| InterGroup | PPO | $3,766.10 | ↑ +8% |
| Aetna | Commercial | $4,264.38 | ↑ +23% |
| Prime Net | FH-Medical Rental | $4,357.09 | ↑ +25% |
| Wellspan Population Health | Commercial | $4,924.90 | ↑ +42% |
| Tricare | Tricare | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Venogram ext bil s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $848.40 | $22.50 – $1,131.20 |
| UPMC Carlisle | Carlisle | $3,476.40 | $29.48 – $4,924.90 |
| UPMC East | Monroeville | $1,186.20 | $41.25 – $1,581.60 |
| UPMC Hamot | Erie | $1,699.20 | $41.25 – $2,421.62 |
| UPMC Hanover | Hanover | $3,476.40 | $29.48 – $2,374.40 |
| UPMC Kane | Kane | $1,086.00 | $41.25 – $287.02 |
| UPMC Lititz | Lititz | $3,476.40 | $29.48 – $2,387.23 |
| UPMC Magee | Pittsburgh | $2,568.00 | $41.25 – $1,599.50 |