Biospy of bladder at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$2,136.60
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.
$3,561.00
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.
$47.49 with UPMC Health Plan vs $3,098.07 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 |
|---|---|---|---|
| UPMC Health Plan | CHIP | $47.49 | ↓ -98% |
| United Healthcare Community Plan for Families | PA Medicaid | $171.70 | ↓ -92% |
| Highmark BCBS of PA | Medicare | $230.02 | ↓ -89% |
| Humana | Medicare | $232.34 | ↓ -89% |
| Aetna | Medicare | $242.33 | ↓ -89% |
| Geisinger | Medicare | $243.96 | ↓ -89% |
| Cigna | Medicare | $243.96 | ↓ -89% |
| United Healthcare | Medicare | $248.60 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $250.93 | ↓ -88% |
| Keystone Autism Services | ACAP | $371.74 | ↓ -83% |
| Keystone Health Plan | Medicare Advantage | $676.59 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $676.59 | ↓ -68% |
| Highmark BCBS of PA | Medicaid | $770.76 | ↓ -64% |
| Highmark BCBS of PA | Commercial | $826.43 | ↓ -61% |
| Prime Net | Managed Medicare | $861.76 | ↓ -60% |
| United Healthcare | Commercial | $1,848.16 | ↓ -13% |
| PA Health & Wellness | PA Medicaid HMO | $1,958.55 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $1,958.55 | ↓ -8% |
| Aetna | ACO | $2,022.65 | ↓ -5% |
| Geisinger | Commercial | $2,331.74 | ↑ +9% |
| Capital Blue Cross | CHIP | $2,420.06 | ↑ +13% |
| Capital Blue Cross | Commercial | $2,420.06 | ↑ +13% |
| Keystone Health Plan | Commercial | $2,420.06 | ↑ +13% |
| UPMC Health Plan | Commercial | $2,492.70 | ↑ +17% |
| Aetna | Commercial | $2,592.41 | ↑ +21% |
| Cigna | Commercial | $2,777.58 | ↑ +30% |
| CareFirst | Commercial | $3,026.85 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,026.85 | ↑ +42% |
| Wellspan Population Health | Commercial | $3,098.07 | ↑ +45% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Biospy of bladder at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,136.60 | $47.49 – $3,026.85 |
| UPMC Community Osteopathic | Harrisburg | $2,136.60 | $47.49 – $3,026.85 |
| UPMC Northwest | Seneca | $111.60 | $34.22 – $250.42 |
| UPMC Horizon-Greenville | Greenville | $254.40 | $26.60 – $250.42 |
| UPMC Jameson | New Castle | $85.20 | $18.92 – $313.02 |
| UPMC Lititz | Lititz | $2,136.60 | $47.49 – $373.74 |
| UPMC Magee | Pittsburgh | $114.60 | $18.77 – $255.06 |
| UPMC Memorial | York | $2,136.60 | $15.15 – $373.14 |