Antibody id rbc panel at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$403.20
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.
$672.00
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.
$8.45 with AmeriHealth Caritas vs $1,222.33 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $8.45 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.73 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $10.98 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $11.07 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $11.51 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $12.31 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $14.40 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $41.66 | ↓ -90% |
| UPMC Health Plan | CHIP | $89.77 | ↓ -78% |
| Cigna | Commercial | $117.28 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $127.68 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $127.68 | ↓ -68% |
| United Healthcare | Commercial | $155.02 | ↓ -62% |
| Prime Net | Managed Medicare | $162.62 | ↓ -60% |
| Highmark BCBS of PA | Medicare | $340.20 | ↓ -16% |
| Humana | Medicare | $343.64 | ↓ -15% |
| Aetna | Commercial | $343.64 | ↓ -15% |
| Aetna | ACO | $343.64 | ↓ -15% |
| Aetna | Medicare | $358.42 | ↓ -11% |
| Geisinger | Medicare | $360.82 | ↓ -11% |
| Cigna | Medicare | $360.82 | ↓ -11% |
| United Healthcare | Medicare | $367.69 | ↓ -9% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $371.13 | ↓ -8% |
| Geisinger | Commercial | $440.03 | ↑ +9% |
| Keystone Health Plan | Commercial | $456.69 | ↑ +13% |
| Capital Blue Cross | CHIP | $456.69 | ↑ +13% |
| Capital Blue Cross | Commercial | $456.69 | ↑ +13% |
| UPMC Health Plan | Commercial | $470.40 | ↑ +17% |
| Keystone Autism Services | ACAP | $549.82 | ↑ +36% |
| CareFirst | Commercial | $571.20 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $571.20 | ↑ +42% |
| Wellspan Population Health | Commercial | $584.64 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $1,139.99 | ↑ +183% |
| Highmark BCBS of PA | Commercial | $1,222.33 | ↑ +203% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Antibody id rbc panel at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $229.80 | $8.45 – $306.40 |
| UPMC Bedford | Everett | $133.20 | $8.45 – $199.80 |
| UPMC Carlisle | Carlisle | $403.20 | $8.45 – $571.20 |
| UPMC Cole | Coudersport | $103.80 | $8.87 – $138.40 |
| UPMC Community Osteopathic | Harrisburg | $403.20 | $8.45 – $571.20 |
| UPMC East | Monroeville | $223.20 | $8.45 – $360.10 |
| UPMC Hamot | Erie | $367.20 | $8.45 – $427.47 |
| UPMC Northwest | Seneca | $129.60 | $9.29 – $360.10 |