Cardiac rehabilitation op phase 2 w/continous ecg monitoring at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$209.40
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.
$349.00
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.
$66.31 with Keystone Health Plan vs $427.84 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $66.31 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $66.31 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $72.22 | ↓ -66% |
| Prime Net | Managed Medicare | $84.46 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $95.94 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicaid | $99.00 | ↓ -53% |
| Highmark BCBS of PA | Medicare | $119.08 | ↓ -43% |
| Humana | Medicare | $120.28 | ↓ -43% |
| UPMC Health Plan | CHIP | $124.94 | ↓ -40% |
| Aetna | Medicare | $125.45 | ↓ -40% |
| Cigna | Medicare | $126.29 | ↓ -40% |
| Geisinger | Medicare | $126.29 | ↓ -40% |
| United Healthcare | Medicare | $128.70 | ↓ -39% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $129.90 | ↓ -38% |
| PA Health & Wellness | PA Medicaid HMO | $191.95 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $191.95 | ↓ -8% |
| Keystone Autism Services | ACAP | $192.45 | ↓ -8% |
| Aetna | ACO | $198.23 | ↓ -5% |
| Geisinger | Commercial | $228.53 | ↑ +9% |
| Capital Blue Cross | CHIP | $237.18 | ↑ +13% |
| Keystone Health Plan | Commercial | $237.18 | ↑ +13% |
| Capital Blue Cross | Commercial | $237.18 | ↑ +13% |
| UPMC Health Plan | Commercial | $244.30 | ↑ +17% |
| Aetna | Commercial | $254.07 | ↑ +21% |
| Cigna | Commercial | $272.22 | ↑ +30% |
| CareFirst | Commercial | $296.65 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $296.65 | ↑ +42% |
| Wellspan Population Health | Commercial | $303.63 | ↑ +45% |
| United Healthcare | Commercial | $330.00 | ↑ +58% |
| Highmark BCBS of PA | Medicaid | $399.02 | ↑ +91% |
| Highmark BCBS of PA | Commercial | $427.84 | ↑ +104% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Cardiac rehabilitation op phase 2 w/continous ecg monitoring at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $259.20 | $38.24 – $345.60 |
| UPMC Bedford | Everett | $121.20 | $43.31 – $181.80 |
| UPMC Cole | Coudersport | $110.40 | $16.16 – $147.20 |
| UPMC Community Osteopathic | Harrisburg | $209.40 | $69.80 – $296.65 |
| UPMC East | Monroeville | $255.00 | $38.60 – $340.00 |
| UPMC Hamot | Erie | $144.00 | $38.24 – $163.36 |
| UPMC Northwest | Seneca | $121.20 | $69.01 – $129.64 |
| UPMC Horizon-Greenville | Greenville | $150.60 | $69.01 – $129.64 |