Clsd tx elbow dislocation child 24640 at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$370.80
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.
$618.00
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.
$67.31 with AmeriHealth Caritas vs $1,016.56 with United Healthcare Community Plan for Families — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $67.31 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $67.31 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $68.90 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $72.19 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $77.20 | ↓ -79% |
| PA Health & Wellness | PA Medicaid HMO | $90.32 | ↓ -76% |
| Capital Blue Cross | Medicare Advantage | $117.42 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $117.42 | ↓ -68% |
| Prime Net | Managed Medicare | $149.56 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $187.87 | ↓ -49% |
| Highmark BCBS of PA | Medicare | $226.87 | ↓ -39% |
| Humana | Medicare | $229.16 | ↓ -38% |
| Aetna | Medicare | $239.01 | ↓ -36% |
| Cigna | Medicare | $240.62 | ↓ -35% |
| Geisinger | Medicare | $240.62 | ↓ -35% |
| United Healthcare | Medicare | $245.20 | ↓ -34% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $247.49 | ↓ -33% |
| UPMC Health Plan | CHIP | $301.45 | ↓ -19% |
| Aetna | ACO | $351.02 | ↓ -5% |
| Keystone Autism Services | ACAP | $366.66 | ↓ -1% |
| Geisinger | Commercial | $404.67 | ↑ +9% |
| Capital Blue Cross | Commercial | $419.99 | ↑ +13% |
| Capital Blue Cross | CHIP | $419.99 | ↑ +13% |
| Keystone Health Plan | Commercial | $419.99 | ↑ +13% |
| UPMC Health Plan | Commercial | $432.60 | ↑ +17% |
| Aetna | Commercial | $449.90 | ↑ +21% |
| Cigna | Commercial | $482.04 | ↑ +30% |
| CareFirst | Commercial | $525.30 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $525.30 | ↑ +42% |
| Wellspan Population Health | Commercial | $537.66 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $760.22 | ↑ +105% |
| Highmark BCBS of PA | Commercial | $815.12 | ↑ +120% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↑ +174% |
| 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
Clsd tx elbow dislocation child 24640 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $408.60 | $53.00 – $544.80 |
| UPMC Bedford | Everett | $210.00 | $55.65 – $315.00 |
| UPMC Carlisle | Carlisle | $370.80 | $67.31 – $1,016.56 |
| UPMC Cole | Coudersport | $400.80 | $34.65 – $188.37 |
| UPMC Community Osteopathic | Harrisburg | $370.80 | $67.31 – $1,016.56 |
| UPMC East | Monroeville | $388.80 | $58.30 – $518.40 |
| UPMC Hamot | Erie | $407.40 | $58.30 – $332.62 |
| UPMC Northwest | Seneca | $280.20 | $58.30 – $240.13 |