Bilateral n block inj trigeminal 64400 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

$452.40

Cash price

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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.

$754.00

Gross charge

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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.

$16.51 with Highmark Wholecare (prev Gateway) vs $1,064.34 with UPMC Health Plan — 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 →

Payer
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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
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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 Wholecare (prev Gateway) Medicaid $16.51 ↓ -96%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $16.51 ↓ -96%
UPMC Health Plan Managed Medicaid $16.90 ↓ -96%
Health Partners Plans (Jefferson Health Plan) Medicaid/CHIP $17.71 ↓ -96%
Geisinger Medicaid/CHIP $18.94 ↓ -96%
PA Health & Wellness PA Medicaid HMO $22.15 ↓ -95%
UPMC Work Partners Workers Comp $138.40 ↓ -69%
Capital Blue Cross Medicare Advantage $143.26 ↓ -68%
Keystone Health Plan Medicare Advantage $143.26 ↓ -68%
Prime Net Managed Medicare $182.47 ↓ -60%
Highmark BCBS of PA Medicare $279.18 ↓ -38%
Humana Medicare $282.00 ↓ -38%
Aetna Medicare $294.13 ↓ -35%
Geisinger Medicare $296.10 ↓ -35%
Cigna Medicare $296.10 ↓ -35%
United Healthcare Medicare $301.74 ↓ -33%
PA Health & Wellness Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) $304.56 ↓ -33%
Aetna ACO $428.27 ↓ -5%
Keystone Autism Services ACAP $451.20 ↓ -0%
Geisinger Commercial $493.72 ↑ +9%
Keystone Health Plan Commercial $512.42 ↑ +13%
Capital Blue Cross CHIP $512.42 ↑ +13%
Capital Blue Cross Commercial $512.42 ↑ +13%
UPMC Health Plan Commercial $527.80 ↑ +17%
Aetna Commercial $548.91 ↑ +21%
Cigna Commercial $588.12 ↑ +30%
Multiplan PPO (Includes PHCS and Humana as Payers) $640.90 ↑ +42%
CareFirst Commercial $640.90 ↑ +42%
Wellspan Population Health Commercial $655.98 ↑ +45%
Highmark BCBS of PA Medicaid $935.51 ↑ +107%
Highmark BCBS of PA Commercial $1,003.07 ↑ +122%
United Healthcare Community Plan for Families PA Medicaid $1,016.56 ↑ +125%
UPMC Health Plan CHIP $1,064.34 ↑ +135%
United Healthcare Commercial not published by hospital
Tricare East Region not published by hospital
US Family Health Plan Tricare Prime not published by hospital

Visitor-reported prices

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Bilateral n block inj trigeminal 64400 at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $544.80 $13.00 – $726.40
UPMC Bedford Everett $1,543.20 $13.65 – $2,314.80
UPMC Carlisle Carlisle $452.40 $16.51 – $1,016.56
UPMC Cole Coudersport $780.60 $13.65 – $134.92
UPMC Community Osteopathic Harrisburg $452.40 $16.51 – $1,064.34
UPMC East Monroeville $1,401.60 $14.30 – $1,868.80
UPMC Hamot Erie $1,434.00 $14.30 – $409.31
UPMC Northwest Seneca $2,232.00 $14.30 – $295.50

All Pennsylvania hospitals for this procedure →