Close lac/mouth vest/2.5 cm or < 40830 at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$777.60
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.
$1,296.00
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.
$40.01 with Highmark Wholecare (prev Gateway) vs $1,127.52 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 Wholecare (prev Gateway) | Medicaid | $40.01 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $40.01 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $40.95 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $42.90 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $45.88 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $53.68 | ↓ -93% |
| Highmark BCBS of PA | Medicare | $219.62 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $220.89 | ↓ -72% |
| Humana | Medicare | $221.84 | ↓ -71% |
| Aetna | Medicare | $231.38 | ↓ -70% |
| Geisinger | Medicare | $232.93 | ↓ -70% |
| Cigna | Medicare | $232.93 | ↓ -70% |
| United Healthcare | Medicare | $237.37 | ↓ -69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $239.59 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $246.24 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $246.24 | ↓ -68% |
| Prime Net | Managed Medicare | $313.63 | ↓ -60% |
| Keystone Autism Services | ACAP | $354.94 | ↓ -54% |
| UPMC Health Plan | CHIP | $401.80 | ↓ -48% |
| United Healthcare Community Plan for Families | PA Medicaid | $645.83 | ↓ -17% |
| Highmark BCBS of PA | Medicaid | $735.93 | ↓ -5% |
| Aetna | ACO | $736.13 | ↓ -5% |
| Highmark BCBS of PA | Commercial | $789.08 | ↑ +1% |
| Geisinger | Commercial | $848.62 | ↑ +9% |
| Capital Blue Cross | Commercial | $880.76 | ↑ +13% |
| Capital Blue Cross | CHIP | $880.76 | ↑ +13% |
| Keystone Health Plan | Commercial | $880.76 | ↑ +13% |
| UPMC Health Plan | Commercial | $907.20 | ↑ +17% |
| Aetna | Commercial | $943.49 | ↑ +21% |
| Cigna | Commercial | $1,010.88 | ↑ +30% |
| CareFirst | Commercial | $1,101.60 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,101.60 | ↑ +42% |
| Wellspan Population Health | Commercial | $1,127.52 | ↑ +45% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Close lac/mouth vest/2.5 cm or < 40830 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $530.40 | $31.50 – $707.20 |
| UPMC Bedford | Everett | $898.20 | $33.08 – $1,347.30 |
| UPMC Carlisle | Carlisle | $777.60 | $40.01 – $1,101.60 |
| UPMC Community Osteopathic | Harrisburg | $777.60 | $40.01 – $1,101.60 |
| UPMC East | Monroeville | $660.00 | $34.65 – $880.00 |
| UPMC Hamot | Erie | $496.80 | $34.65 – $322.01 |
| UPMC Northwest | Seneca | $388.80 | $34.65 – $232.46 |
| UPMC Horizon-Greenville | Greenville | $550.80 | $34.65 – $253.13 |