Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$378.00
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.
$630.00
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.
$5.41 with Highmark BCBS of PA vs $274.05 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $5.41 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $5.46 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5.46 | ↓ -99% |
| Humana | Medicare | $5.46 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $5.46 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5.57 | ↓ -99% |
| Aetna | Medicare | $5.69 | ↓ -98% |
| Cigna | Medicare | $5.73 | ↓ -98% |
| Geisinger | Medicare | $5.73 | ↓ -98% |
| United Healthcare | Medicare | $5.84 | ↓ -98% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5.90 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $6.00 | ↓ -98% |
| UPMC Health Plan | CHIP | $6.71 | ↓ -98% |
| Cigna | Commercial | $6.88 | ↓ -98% |
| Keystone Autism Services | ACAP | $8.74 | ↓ -98% |
| Highmark BCBS of PA | Medicaid | $18.11 | ↓ -95% |
| Highmark BCBS of PA | Commercial | $19.42 | ↓ -95% |
| United Healthcare | Commercial | $34.26 | ↓ -91% |
| Keystone Health Plan | Medicare Advantage | $59.85 | ↓ -84% |
| Capital Blue Cross | Medicare Advantage | $59.85 | ↓ -84% |
| Prime Net | Managed Medicare | $76.23 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $156.65 | ↓ -59% |
| Aetna | ACO | $178.92 | ↓ -53% |
| Geisinger | Commercial | $206.26 | ↓ -45% |
| Keystone Health Plan | Commercial | $214.07 | ↓ -43% |
| Capital Blue Cross | CHIP | $214.07 | ↓ -43% |
| Capital Blue Cross | Commercial | $214.07 | ↓ -43% |
| UPMC Health Plan | Commercial | $220.50 | ↓ -42% |
| Aetna | Commercial | $229.32 | ↓ -39% |
| CareFirst | Commercial | $267.75 | ↓ -29% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $267.75 | ↓ -29% |
| Wellspan Population Health | Commercial | $274.05 | ↓ -28% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $36.00 | $3.45 – $36.00 |
| UPMC Carlisle | Carlisle | $378.00 | $5.41 – $267.75 |
| UPMC Community Osteopathic | Harrisburg | $378.00 | $5.41 – $267.75 |
| UPMC East | Monroeville | $38.40 | $3.45 – $38.40 |
| UPMC Hamot | Erie | $43.40 | $3.45 – $6.75 |
| UPMC Northwest | Seneca | $40.40 | $3.45 – $5.90 |
| UPMC Horizon-Greenville | Greenville | $40.40 | $3.45 – $10.25 |
| UPMC Jameson | New Castle | $51.00 | $3.45 – $7.38 |