_afb org id by sequencing rflx ast-sendout at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$642.60
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.
$1,071.00
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.
$9.29 with United Healthcare vs $931.77 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 | Commercial | $9.29 | ↓ -99% |
| Highmark BCBS of PA | Medicare | $114.21 | ↓ -82% |
| Aetna | ACO | $115.36 | ↓ -82% |
| Humana | Medicare | $115.36 | ↓ -82% |
| Aetna | Commercial | $115.36 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $119.32 | ↓ -81% |
| Aetna | Medicare | $120.32 | ↓ -81% |
| Cigna | Medicare | $121.13 | ↓ -81% |
| Geisinger | Medicare | $121.13 | ↓ -81% |
| United Healthcare | Medicare | $123.44 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $124.59 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $132.18 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $167.87 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $171.83 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $173.16 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $180.03 | ↓ -72% |
| Keystone Autism Services | ACAP | $184.58 | ↓ -71% |
| UPMC Health Plan | CHIP | $184.97 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $192.53 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $203.49 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $203.49 | ↓ -68% |
| PA Health & Wellness | PA Medicaid HMO | $225.26 | ↓ -65% |
| Prime Net | Managed Medicare | $259.18 | ↓ -60% |
| Cigna | Commercial | $299.92 | ↓ -53% |
| Highmark BCBS of PA | Medicaid | $382.70 | ↓ -40% |
| Highmark BCBS of PA | Commercial | $410.34 | ↓ -36% |
| Geisinger | Commercial | $701.29 | ↑ +9% |
| Capital Blue Cross | Commercial | $727.85 | ↑ +13% |
| Capital Blue Cross | CHIP | $727.85 | ↑ +13% |
| Keystone Health Plan | Commercial | $727.85 | ↑ +13% |
| UPMC Health Plan | Commercial | $749.70 | ↑ +17% |
| CareFirst | Commercial | $910.35 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $910.35 | ↑ +42% |
| Wellspan Population Health | Commercial | $931.77 | ↑ +45% |
Visitor-reported prices
Comments
_afb org id by sequencing rflx ast-sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,507.80 | $114.02 – $2,010.40 |
| UPMC Bedford | Everett | $1,939.20 | $41.62 – $2,908.80 |
| UPMC Carlisle | Carlisle | $642.60 | $9.29 – $910.35 |
| UPMC Community Osteopathic | Harrisburg | $642.60 | $114.21 – $910.35 |
| UPMC East | Monroeville | $1,253.40 | $50.88 – $1,671.20 |
| UPMC Northwest | Seneca | $1,823.40 | $51.36 – $152.01 |
| UPMC Horizon-Greenville | Greenville | $1,105.80 | $51.52 – $216.47 |
| UPMC Jameson | New Castle | $1,105.80 | $114.01 – $312.53 |