UPMC · Harrisburg, PA
10
In-network payers
323
Disclosed rate categories
114
Beds
5
Care quality
Upmc Community Osteopathic is a 114-bed voluntary non-profit - private hospital in Harrisburg, PA, affiliated with UPMC. Below you'll find publicly disclosed negotiated rates and facility details, including 10 in-network payers and 323 disclosed rate categories.
CCN (Medicare provider number)
390067
NPI
1265537674
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
114
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Upmc Community Osteopathic most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$10,179 - $13,271
from 3 insurers · median $12,212
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$16,092 - $20,848
from 4 insurers · median $17,862
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$30,653 - $43,584
from 4 insurers · median $38,365
249 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 460
$59,587 - $75,286
from 3 insurers · median $70,797
82 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$530 - $2,038
from 4 insurers · median $1,453
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$3,993 - $6,201
from 2 insurers · median $5,097
60 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$264 - $2,170
from 4 insurers · median $1,999
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$8,294 - $10,776
from 3 insurers · median $9,878
205 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$166 - $474
from 4 insurers · median $380
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$146 - $1,166
from 4 insurers · median $645
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$10,179 - $13,271
from 3 insurers · median $12,212
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 43239
$618 - $2,667
from 4 insurers · median $2,166
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$6,612 - $8,224
from 2 insurers · median $7,418
Typical for a hospital with this service line
MRI imaging
CPT 70553
$461 - $3,501
from 4 insurers · median $2,155
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,583 - $1,885
from 4 insurers · median $1,791
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$253 - $2,234
from 4 insurers · median $864
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$5,299 - $9,461
from 2 insurers · median $7,380
205 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71260
$241 - $1,235
from 4 insurers · median $943
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$158,398 - $221,519
from 4 insurers · median $203,793
Hospital reports cardiac thoracic surgery services to CMS
Gynecology
CPT 58571
$7,865 - $9,381
from 2 insurers · median $8,623
69 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78452
$575 - $5,870
from 4 insurers · median $2,207
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$714 - $1,855
from 2 insurers · median $1,284
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$53 - $388
from 4 insurers · median $139
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$498 - $2,461
from 4 insurers · median $1,919
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 16 | 464% | 10 | 2 |
| Insurer B* | 19 | 400% | 3 | 7 |
| Insurer C* | 24 | 224% | 4 | 16 |
| Insurer D* | 23 | 121% | 1 | 16 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Upmc Community Osteopathic.
4300 Londonderry Rd, Harrisburg, PA 17109
717.652.3000
The nearest hospitals of similar type and size. Their rates are compared with Upmc Community Osteopathic for the same insurers and services above.
Milton S. Hershey Medical Center
▲ Rates typically 21% higher than Upmc Community Osteopathic (21 services)
Wellspan York Hospital
▲ Rates typically 60% higher than Upmc Community Osteopathic (21 services)
Penn Medicine Lancaster General Hospital
▲ Rates typically 17% higher than Upmc Community Osteopathic (21 services)
Reading Hospital
▲ Rates typically 102% higher than Upmc Community Osteopathic (21 services)
Geisinger St Lukes Hospital
▲ Rates typically 158% higher than Upmc Community Osteopathic (21 services)
Geisinger Medical Center
▲ Rates typically 6% higher than Upmc Community Osteopathic (21 services)
Upmc Horizon - Shenango Valley
Upmc East
Upmc Jameson
Upmc Kane
About Upmc Community Osteopathic's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Upmc Community Osteopathic range from $461 to $3,501 across 4 insurers. Cigna's rate is $1,762. The median at nearby comparable hospitals is $1,618. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Upmc Community Osteopathic range from $530 to $2,038 across 4 insurers. Aetna's rate is $530. The median at nearby comparable hospitals is $1,486. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Upmc Community Osteopathic range from $1,583 to $1,885 across 4 insurers. Aetna's rate is $1,885. The median at nearby comparable hospitals is $3,701. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Upmc Community Osteopathic range from $10,179 to $13,271 across 3 insurers. UnitedHealthcare's rate is $13,271. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Upmc Community Osteopathic range from $166 to $474 across 4 insurers. Cigna's rate is $445. The median at nearby comparable hospitals is $410. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Upmc Community Osteopathic range from $30,653 to $43,584 across 4 insurers. Blue Cross Blue Shield's rate is $35,839. The median at nearby comparable hospitals is $41,840. What a patient pays depends on their plan's deductible, coinsurance and network status.
Upmc Community Osteopathic has 114 beds. Facility type: Short Term Acute Care Hospital.
Upmc Community Osteopathic is located at 4300 Londonderry Rd, Harrisburg, PA 17109. Its main phone number is 717.652.3000.
Upmc Community Osteopathic's CMS Certification Number (CCN), also called its Medicare provider number, is 390067.
The National Provider Identifier (NPI) on file for Upmc Community Osteopathic is 1265537674.
Upmc Community Osteopathic is affiliated with UPMC.
Upmc Community Osteopathic lists 10 in-network payers, including Avera Health Plans, BCBS, Geisinger Health Plan, Harvard Pilgrim Health Care (Point32Health), and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
323 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers