Artery x-rays arms/legs 75716-26 at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$5,906.40
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.
$9,844.00
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.
$29.48 with United Healthcare Community Plan for Families vs $14,564.42 with Cigna — 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 | $29.48 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $47.62 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.62 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $48.75 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $51.08 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $54.62 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $63.91 | ↓ -99% |
| Premier Comp Solutions | Worker's Comp | $1,294.62 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $1,294.62 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $1,870.36 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $1,870.36 | ↓ -68% |
| UPMC Health Plan | CHIP | $1,953.45 | ↓ -67% |
| Prime Net | Managed Medicare | $2,382.25 | ↓ -60% |
| Highmark BCBS of PA | Medicare | $2,976.74 | ↓ -50% |
| Humana | Medicare | $3,006.81 | ↓ -49% |
| Aetna | Medicare | $3,136.10 | ↓ -47% |
| Cigna | Medicare | $3,157.15 | ↓ -47% |
| Geisinger | Medicare | $3,157.15 | ↓ -47% |
| United Healthcare | Medicare | $3,217.29 | ↓ -46% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,247.35 | ↓ -45% |
| Keystone Autism Services | ACAP | $4,810.90 | ↓ -19% |
| Aetna | ACO | $5,591.39 | ↓ -5% |
| Geisinger | Commercial | $6,445.85 | ↑ +9% |
| Keystone Health Plan | Commercial | $6,689.98 | ↑ +13% |
| Capital Blue Cross | Commercial | $6,689.98 | ↑ +13% |
| Capital Blue Cross | CHIP | $6,689.98 | ↑ +13% |
| UPMC Health Plan | Commercial | $6,890.80 | ↑ +17% |
| Aetna | Commercial | $7,166.43 | ↑ +21% |
| United Healthcare | Commercial | $7,245.18 | ↑ +23% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $8,367.40 | ↑ +42% |
| CareFirst | Commercial | $8,367.40 | ↑ +42% |
| Wellspan Population Health | Commercial | $8,564.28 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $9,974.79 | ↑ +69% |
| Highmark BCBS of PA | Commercial | $10,695.22 | ↑ +81% |
| Cigna | Commercial | $14,564.42 | ↑ +147% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Artery x-rays arms/legs 75716-26 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,782.20 | $22.50 – $3,709.60 |
| UPMC Carlisle | Carlisle | $5,906.40 | $29.48 – $8,367.40 |
| UPMC Community Osteopathic | Harrisburg | $5,906.40 | $29.48 – $8,367.40 |
| UPMC East | Monroeville | $5,658.60 | $41.25 – $7,544.80 |
| UPMC Hamot | Erie | $2,766.60 | $41.25 – $4,114.32 |
| UPMC Northwest | Seneca | $2,833.20 | $41.25 – $3,150.80 |
| UPMC Jameson | New Castle | $2,478.00 | $25.88 – $3,750.95 |
| UPMC Lititz | Lititz | $5,906.40 | $29.48 – $4,836.88 |