Bronchoscopy/lung bx addl 31632 at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$2,794.80
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.
$4,658.00
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.
$64.12 with Highmark Wholecare (prev Gateway) vs $5,035.00 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $64.12 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $65.64 | ↓ -98% |
| United Healthcare Community Plan for Families | PA Medicaid | $66.14 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $68.16 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $68.77 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $73.54 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $86.05 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $138.74 | ↓ -95% |
| UPMC Health Plan | CHIP | $822.14 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $885.02 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $885.02 | ↓ -68% |
| Prime Net | Managed Medicare | $1,127.24 | ↓ -60% |
| Aetna | Medicare | $1,648.93 | ↓ -41% |
| Geisinger | Commercial | $3,050.06 | ↑ +9% |
| Keystone Health Plan | Commercial | $3,165.58 | ↑ +13% |
| Capital Blue Cross | Commercial | $3,165.58 | ↑ +13% |
| Capital Blue Cross | CHIP | $3,165.58 | ↑ +13% |
| UPMC Health Plan | Commercial | $3,260.60 | ↑ +17% |
| CareFirst | Commercial | $3,959.30 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,959.30 | ↑ +42% |
| Wellspan Population Health | Commercial | $4,052.46 | ↑ +45% |
| Cigna | Commercial | $5,035.00 | ↑ +80% |
| United Healthcare | Commercial | not published by hospital | — |
| Aetna | ACO | not published by hospital | — |
| Aetna | Commercial | not published by hospital | — |
Visitor-reported prices
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Bronchoscopy/lung bx addl 31632 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $2,794.80 | $66.14 – $3,959.30 |
| UPMC Memorial | York | $2,794.80 | $47.34 – $138.74 |
| UPMC Presbyterian | Pittsburgh | $989.40 | $55.54 – $174.89 |
| UPMC Somerset | Somerset | $2,794.80 | $55.54 – $134.25 |
| Uniontown Hospital | Uniontown | $851.75 | $42.37 – $225.40 |
| UPMC Hamot | Erie | not published | $55.54 – $135.62 |
| UPMC Mercy | Pittsburgh | not published | $55.54 – $150.41 |