Venous mech thrombectomy at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$17,446.80
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.
$29,078.00
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.
$1,016.56 with United Healthcare Community Plan for Families vs $24,482.55 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 | $1,016.56 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $4,786.91 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $5,760.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $5,760.60 | ↓ -67% |
| Aetna | ACO | $6,333.00 | ↓ -64% |
| Prime Net | Managed Medicare | $6,970.33 | ↓ -60% |
| Aetna | PEBTF ACO | $6,991.00 | ↓ -60% |
| Aetna | Commercial | $8,225.00 | ↓ -53% |
| UPMC Health Plan | CHIP | $8,368.64 | ↓ -52% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $11,043.94 | ↓ -37% |
| Capital Blue Cross | Commercial | $11,127.90 | ↓ -36% |
| Keystone Health Plan | Commercial | $11,127.90 | ↓ -36% |
| Capital Blue Cross | CHIP | $11,127.90 | ↓ -36% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $11,210.15 | ↓ -36% |
| Humana | Medicare | $11,490.15 | ↓ -34% |
| Aetna | Medicare | $11,635.18 | ↓ -33% |
| Cigna | Medicare | $11,713.26 | ↓ -33% |
| United Healthcare | Medicare | $11,936.37 | ↓ -32% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $12,047.93 | ↓ -31% |
| Geisinger | Medicaid/CHIP | $15,841.65 | ↓ -9% |
| InterGroup | PPO | $18,721.95 | ↑ +7% |
| Highmark BCBS of PA | Commercial | $20,913.98 | ↑ +20% |
| Highmark BCBS of PA | CHIP | $20,913.98 | ↑ +20% |
| Prime Net | FH-Medical Rental | $21,659.86 | ↑ +24% |
| Wellspan Population Health | Commercial | $24,482.55 | ↑ +40% |
Visitor-reported prices
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Venous mech thrombectomy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $33,079.20 | $4,574.16 – $44,105.60 |
| UPMC Carlisle | Carlisle | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC East | Monroeville | $13,128.60 | $4,574.16 – $17,504.80 |
| UPMC Hamot | Erie | $10,687.20 | $4,574.16 – $15,725.10 |
| UPMC Hanover | Hanover | $17,281.80 | $1,016.56 – $17,333.84 |
| UPMC Lititz | Lititz | $17,281.80 | $1,016.56 – $17,427.46 |
| UPMC Magee | Pittsburgh | $22,748.40 | $4,574.16 – $11,893.06 |
| UPMC Memorial | York | $17,281.80 | $1,016.56 – $17,399.15 |