Bx vulva or perineum/ea add lesion 56606 at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$312.00
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.
$520.00
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.
$34.80 with Highmark Wholecare (prev Gateway) vs $9,539.00 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 | $34.80 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $34.80 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $35.62 | ↓ -89% |
| United Healthcare Community Plan for Families | PA Medicaid | $35.89 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $37.32 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $39.91 | ↓ -87% |
| PA Health & Wellness | PA Medicaid HMO | $46.70 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $81.39 | ↓ -74% |
| Capital Blue Cross | Medicare Advantage | $98.80 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $98.80 | ↓ -68% |
| Prime Net | Managed Medicare | $125.84 | ↓ -60% |
| Aetna | Medicare | $184.08 | ↓ -41% |
| Aetna | ACO | $295.36 | ↓ -5% |
| Geisinger | Commercial | $340.50 | ↑ +9% |
| Capital Blue Cross | CHIP | $353.39 | ↑ +13% |
| Keystone Health Plan | Commercial | $353.39 | ↑ +13% |
| Capital Blue Cross | Commercial | $353.39 | ↑ +13% |
| UPMC Health Plan | Commercial | $364.00 | ↑ +17% |
| Aetna | Commercial | $378.56 | ↑ +21% |
| United Healthcare | Commercial | $382.72 | ↑ +23% |
| CareFirst | Commercial | $442.00 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $442.00 | ↑ +42% |
| Wellspan Population Health | Commercial | $452.40 | ↑ +45% |
| UPMC Health Plan | CHIP | $884.97 | ↑ +184% |
| Cigna | Commercial | $9,539.00 | ↑ +2957% |
Visitor-reported prices
Comments
Bx vulva or perineum/ea add lesion 56606 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $461.40 | $27.40 – $615.20 |
| UPMC Community Osteopathic | Harrisburg | $312.00 | $34.80 – $884.97 |
| UPMC Kane | Kane | $61.80 | $30.14 – $163.27 |
| UPMC Magee | Pittsburgh | $753.00 | $25.80 – $83.87 |
| UPMC Memorial | York | $312.00 | $23.45 – $81.39 |
| UPMC Presbyterian | Pittsburgh | $576.60 | $30.14 – $99.25 |
| UPMC Somerset | Somerset | $312.00 | $30.14 – $76.81 |
| UPMC St. Margaret | Pittsburgh | $411.00 | $30.14 – $83.87 |