5' nucleotidase - sendout at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$56.40
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.
$94.00
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.
$11.04 with Highmark BCBS of PA vs $81.78 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $11.04 | ↓ -80% |
| Aetna | ACO | $11.15 | ↓ -80% |
| Humana | Medicare | $11.15 | ↓ -80% |
| Aetna | Commercial | $11.15 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $11.53 | ↓ -80% |
| Aetna | Medicare | $11.63 | ↓ -79% |
| Geisinger | Medicare | $11.71 | ↓ -79% |
| Cigna | Medicare | $11.71 | ↓ -79% |
| United Healthcare | Medicare | $11.93 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $12.04 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.41 | ↓ -73% |
| Keystone Autism Services | ACAP | $17.84 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $17.86 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $17.86 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $19.57 | ↓ -65% |
| UPMC Health Plan | Managed Medicaid | $20.03 | ↓ -64% |
| United Healthcare Community Plan for Families | PA Medicaid | $20.19 | ↓ -64% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $20.99 | ↓ -63% |
| Geisinger | Medicaid/CHIP | $22.45 | ↓ -60% |
| Prime Net | Managed Medicare | $22.75 | ↓ -60% |
| PA Health & Wellness | PA Medicaid HMO | $26.26 | ↓ -53% |
| Cigna | Commercial | $29.00 | ↓ -49% |
| United Healthcare | Commercial | $36.31 | ↓ -36% |
| Highmark BCBS of PA | Medicaid | $36.99 | ↓ -34% |
| Highmark BCBS of PA | Commercial | $39.66 | ↓ -30% |
| Geisinger | Commercial | $61.55 | ↑ +9% |
| Capital Blue Cross | CHIP | $63.88 | ↑ +13% |
| Keystone Health Plan | Commercial | $63.88 | ↑ +13% |
| Capital Blue Cross | Commercial | $63.88 | ↑ +13% |
| UPMC Health Plan | Commercial | $65.80 | ↑ +17% |
| UPMC Health Plan | CHIP | $70.78 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $79.90 | ↑ +42% |
| CareFirst | Commercial | $79.90 | ↑ +42% |
| Wellspan Population Health | Commercial | $81.78 | ↑ +45% |
Visitor-reported prices
Comments
5' nucleotidase - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $136.80 | $11.02 – $182.40 |
| UPMC Bedford | Everett | $123.00 | $4.02 – $184.50 |
| UPMC Carlisle | Carlisle | $56.40 | $11.04 – $79.90 |
| UPMC Community Osteopathic | Harrisburg | $56.40 | $11.04 – $79.90 |
| UPMC East | Monroeville | $166.20 | $11.02 – $221.60 |
| UPMC Hamot | Erie | $119.40 | $11.02 – $21.56 |
| UPMC Northwest | Seneca | $58.80 | $10.11 – $17.72 |
| UPMC Horizon-Greenville | Greenville | $64.80 | $9.98 – $21.42 |