Chg pr pul rehab for copd patients at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$133.20
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.
$222.00
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.
$42.18 with Capital Blue Cross vs $239.00 with United Healthcare — 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $42.18 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $42.18 | ↓ -68% |
| United Healthcare Community Plan for Families | PA Medicaid | $45.93 | ↓ -66% |
| Prime Net | Managed Medicare | $53.72 | ↓ -60% |
| Highmark BCBS of PA | Medicare | $56.17 | ↓ -58% |
| Humana | Medicare | $56.74 | ↓ -57% |
| Aetna | Medicare | $59.18 | ↓ -56% |
| Geisinger | Medicare | $59.58 | ↓ -55% |
| Cigna | Medicare | $59.58 | ↓ -55% |
| UPMC Health Plan | CHIP | $59.86 | ↓ -55% |
| United Healthcare | Medicare | $60.71 | ↓ -54% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $61.28 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $79.06 | ↓ -41% |
| Keystone Autism Services | ACAP | $90.78 | ↓ -32% |
| PA Health & Wellness | PA Medicaid HMO | $122.10 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $122.10 | ↓ -8% |
| Aetna | ACO | $126.10 | ↓ -5% |
| Geisinger | Commercial | $145.37 | ↑ +9% |
| Capital Blue Cross | Commercial | $150.87 | ↑ +13% |
| Capital Blue Cross | CHIP | $150.87 | ↑ +13% |
| Keystone Health Plan | Commercial | $150.87 | ↑ +13% |
| UPMC Health Plan | Commercial | $155.40 | ↑ +17% |
| Aetna | Commercial | $161.62 | ↑ +21% |
| Cigna | Commercial | $173.16 | ↑ +30% |
| Highmark BCBS of PA | Medicaid | $188.23 | ↑ +41% |
| CareFirst | Commercial | $188.70 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $188.70 | ↑ +42% |
| Wellspan Population Health | Commercial | $193.14 | ↑ +45% |
| Highmark BCBS of PA | Commercial | $201.82 | ↑ +52% |
| United Healthcare | Commercial | $239.00 | ↑ +79% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Chg pr pul rehab for copd patients at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $306.60 | $30.37 – $408.80 |
| UPMC Bedford | Everett | $260.40 | $20.43 – $390.60 |
| UPMC Community Osteopathic | Harrisburg | $133.20 | $44.40 – $188.70 |
| UPMC Hamot | Erie | $250.80 | $29.89 – $152.39 |
| UPMC Horizon-Greenville | Greenville | $245.40 | $50.70 – $75.55 |
| UPMC Jameson | New Castle | $245.40 | $30.91 – $75.55 |
| UPMC Lititz | Lititz | $133.20 | $45.93 – $91.28 |
| UPMC Magee | Pittsburgh | $171.60 | $30.66 – $75.55 |