Clsd tx toe dislocation without anes28660 at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$520.80
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.
$868.00
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.
$61.59 with Highmark Wholecare (prev Gateway) vs $815.12 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $61.59 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $61.59 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $63.05 | ↓ -88% |
| United Healthcare Community Plan for Families | PA Medicaid | $63.53 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $66.06 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $70.65 | ↓ -86% |
| PA Health & Wellness | PA Medicaid HMO | $82.65 | ↓ -84% |
| Capital Blue Cross | Medicare Advantage | $164.92 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $164.92 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $192.06 | ↓ -63% |
| Prime Net | Managed Medicare | $210.06 | ↓ -60% |
| Highmark BCBS of PA | Medicare | $226.87 | ↓ -56% |
| Humana | Medicare | $229.16 | ↓ -56% |
| Aetna | Medicare | $239.01 | ↓ -54% |
| Geisinger | Medicare | $240.62 | ↓ -54% |
| Cigna | Medicare | $240.62 | ↓ -54% |
| United Healthcare | Medicare | $245.20 | ↓ -53% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $247.49 | ↓ -52% |
| Keystone Autism Services | ACAP | $366.66 | ↓ -30% |
| UPMC Health Plan | CHIP | $401.58 | ↓ -23% |
| Aetna | ACO | $493.02 | ↓ -5% |
| Geisinger | Commercial | $568.37 | ↑ +9% |
| Capital Blue Cross | Commercial | $589.89 | ↑ +13% |
| Capital Blue Cross | CHIP | $589.89 | ↑ +13% |
| Keystone Health Plan | Commercial | $589.89 | ↑ +13% |
| UPMC Health Plan | Commercial | $607.60 | ↑ +17% |
| Aetna | Commercial | $631.90 | ↑ +21% |
| Cigna | Commercial | $677.04 | ↑ +30% |
| CareFirst | Commercial | $737.80 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $737.80 | ↑ +42% |
| Wellspan Population Health | Commercial | $755.16 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $760.22 | ↑ +46% |
| Highmark BCBS of PA | Commercial | $815.12 | ↑ +57% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx toe dislocation without anes28660 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $530.40 | $48.50 – $707.20 |
| UPMC Carlisle | Carlisle | $520.80 | $61.59 – $737.80 |
| UPMC Cole | Coudersport | $373.80 | $28.27 – $197.21 |
| UPMC Community Osteopathic | Harrisburg | $520.80 | $61.59 – $737.80 |
| UPMC East | Monroeville | $513.00 | $53.35 – $684.00 |
| UPMC Hamot | Erie | $541.20 | $53.35 – $332.62 |
| UPMC Northwest | Seneca | $763.20 | $53.35 – $240.13 |
| UPMC Horizon-Greenville | Greenville | $626.40 | $53.35 – $253.13 |