Alteplase 100 mg infusion from pyxis vial at UPMC Hanover

300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$5,280.00

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.

Full explanation →

What you pay up front if you don't use insurance.

$8,800.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$16.72 with Keystone Health Plan vs $335.96 with Highmark BCBS of PA — 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 →

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
Keystone Health Plan Medicare Advantage $16.72 ↓ -100%
Capital Blue Cross Medicare Advantage $16.72 ↓ -100%
Prime Net Managed Medicare $21.30 ↓ -100%
UPMC Work Partners Workers Comp $43.76 ↓ -99%
Aetna ACO $49.98 ↓ -99%
United Healthcare Commercial $54.21 ↓ -99%
Geisinger Commercial $57.62 ↓ -99%
Capital Blue Cross CHIP $59.80 ↓ -99%
Keystone Health Plan Commercial $59.80 ↓ -99%
Capital Blue Cross Commercial $59.80 ↓ -99%
UPMC Health Plan Commercial $61.60 ↓ -99%
Aetna Commercial $64.06 ↓ -99%
CareFirst Commercial $74.80 ↓ -99%
Multiplan PPO (Includes PHCS and Humana as Payers) $74.80 ↓ -99%
Wellspan Population Health Commercial $76.56 ↓ -99%
Highmark BCBS of PA Medicare $93.51 ↓ -98%
Humana Medicare $94.45 ↓ -98%
Geisinger Medicaid/CHIP $94.45 ↓ -98%
PA Health & Wellness PA Medicaid HMO $94.45 ↓ -98%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $94.45 ↓ -98%
Highmark Wholecare (prev Gateway) Medicaid $96.34 ↓ -98%
Aetna Medicare $98.51 ↓ -98%
Geisinger Medicare $99.17 ↓ -98%
Cigna Medicare $99.17 ↓ -98%
United Healthcare Medicare $101.06 ↓ -98%
PA Health & Wellness Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) $102.01 ↓ -98%
UPMC Health Plan Managed Medicaid $103.89 ↓ -98%
UPMC Health Plan CHIP $116.17 ↓ -98%
Cigna Commercial $125.45 ↓ -98%
Keystone Autism Services ACAP $151.12 ↓ -97%
Health Partners Plans (Jefferson Health Plan) Medicaid/CHIP $177.50 ↓ -97%
Highmark BCBS of PA Medicaid $313.33 ↓ -94%
Highmark BCBS of PA Commercial $335.96 ↓ -94%
Tricare East Region not published by hospital
US Family Health Plan Tricare Prime not published by hospital

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Alteplase 100 mg infusion from pyxis vial at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $5,280.00 $12.06 – $177.50
UPMC Cole Coudersport $5,517.60 $37.70 – $108.80
UPMC Community Osteopathic Harrisburg $5,280.00 $17.60 – $177.50
UPMC Kane Kane $19,391.40 $94.45 – $150.94
UPMC Lititz Lititz $5,280.00 $93.51 – $177.50
UPMC Magee Pittsburgh $22,001.40 $49.03 – $195.25
UPMC Memorial York $5,280.00 $39.59 – $177.50
UPMC Mercy Pittsburgh $612.00 $48.57 – $204.13

All Pennsylvania hospitals for this procedure →