App high cost ss f/n/g/h/f >100sq cm addl 100sq cm at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$2,895.60
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.
$4,826.00
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.
$56.51 with United Healthcare Community Plan for Families vs $4,198.62 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 Community Plan for Families | PA Medicaid | $56.51 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $121.55 | ↓ -96% |
| Capital Blue Cross | Medicare Advantage | $916.94 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $916.94 | ↓ -68% |
| Prime Net | Managed Medicare | $1,167.89 | ↓ -60% |
| Aetna | Medicare | $1,708.40 | ↓ -41% |
| PA Health & Wellness | PA Medicaid HMO | $2,654.30 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $2,654.30 | ↓ -8% |
| Aetna | ACO | $2,741.17 | ↓ -5% |
| Geisinger | Commercial | $3,160.06 | ↑ +9% |
| Capital Blue Cross | CHIP | $3,279.75 | ↑ +13% |
| Keystone Health Plan | Commercial | $3,279.75 | ↑ +13% |
| Capital Blue Cross | Commercial | $3,279.75 | ↑ +13% |
| UPMC Health Plan | CHIP | $3,378.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $3,378.20 | ↑ +17% |
| Aetna | Commercial | $3,513.33 | ↑ +21% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $4,102.10 | ↑ +42% |
| CareFirst | Commercial | $4,102.10 | ↑ +42% |
| Wellspan Population Health | Commercial | $4,198.62 | ↑ +45% |
Visitor-reported prices
Comments
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,895.60 | $56.51 – $4,102.10 |
| UPMC Cole | Coudersport | $84.60 | $39.09 – $1,041.88 |
| UPMC Hamot | Erie | $3,239.40 | $116.15 – $584.39 |
| UPMC Lititz | Lititz | $2,895.60 | $49.30 – $121.55 |
| UPMC McKeesport | Mckeesport | $2,836.80 | $54.23 – $589.95 |
| UPMC St. Margaret | Pittsburgh | $3,272.40 | $116.15 – $589.95 |
| UPMC Wellsboro | Wellsboro | $1,830.40 | $55.22 – $116.15 |
| Uniontown Hospital | Uniontown | $313.50 | $43.24 – $98.93 |