Carotene at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$46.80
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.
$78.00
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.
$9.13 with Highmark BCBS of PA vs $67.86 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $9.13 | ↓ -80% |
| Aetna | Commercial | $9.22 | ↓ -80% |
| Humana | Medicare | $9.22 | ↓ -80% |
| Aetna | ACO | $9.22 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $9.54 | ↓ -80% |
| Aetna | Medicare | $9.62 | ↓ -79% |
| Geisinger | Medicare | $9.68 | ↓ -79% |
| Cigna | Medicare | $9.68 | ↓ -79% |
| United Healthcare | Medicare | $9.87 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $9.96 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.00 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $13.97 | ↓ -70% |
| UPMC Health Plan | Managed Medicaid | $14.30 | ↓ -69% |
| United Healthcare Community Plan for Families | PA Medicaid | $14.41 | ↓ -69% |
| Keystone Autism Services | ACAP | $14.75 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $14.82 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $14.82 | ↓ -68% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $14.98 | ↓ -68% |
| Geisinger | Medicaid/CHIP | $16.02 | ↓ -66% |
| PA Health & Wellness | PA Medicaid HMO | $18.75 | ↓ -60% |
| Prime Net | Managed Medicare | $18.88 | ↓ -60% |
| Cigna | Commercial | $23.96 | ↓ -49% |
| United Healthcare | Commercial | $25.00 | ↓ -47% |
| Highmark BCBS of PA | Medicaid | $30.59 | ↓ -35% |
| Highmark BCBS of PA | Commercial | $32.80 | ↓ -30% |
| UPMC Health Plan | CHIP | $42.34 | ↓ -10% |
| Geisinger | Commercial | $51.07 | ↑ +9% |
| Capital Blue Cross | CHIP | $53.01 | ↑ +13% |
| Capital Blue Cross | Commercial | $53.01 | ↑ +13% |
| Keystone Health Plan | Commercial | $53.01 | ↑ +13% |
| UPMC Health Plan | Commercial | $54.60 | ↑ +17% |
| CareFirst | Commercial | $66.30 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $66.30 | ↑ +42% |
| Wellspan Population Health | Commercial | $67.86 | ↑ +45% |
Visitor-reported prices
Comments
Carotene at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $110.40 | $9.12 – $147.20 |
| UPMC Bedford | Everett | $177.60 | $3.33 – $266.40 |
| UPMC Carlisle | Carlisle | $46.80 | $9.13 – $66.30 |
| UPMC Cole | Coudersport | $65.40 | $5.99 – $87.20 |
| UPMC Community Osteopathic | Harrisburg | $46.80 | $9.13 – $66.30 |
| UPMC East | Monroeville | $138.00 | $9.12 – $184.00 |
| UPMC Northwest | Seneca | $65.40 | $8.36 – $12.65 |
| UPMC Horizon-Greenville | Greenville | $45.00 | $8.25 – $17.30 |