Cltx carpl scphd fx w/mnpj at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$2,440.80
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.
$4,068.00
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.
$196.85 with AmeriHealth Caritas vs $5,438.19 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $196.85 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $196.85 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $201.50 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $211.11 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $225.77 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $264.15 | ↓ -89% |
| Capital Blue Cross | Medicare Advantage | $772.92 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $772.92 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $883.39 | ↓ -64% |
| Prime Net | Managed Medicare | $984.46 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -58% |
| Highmark BCBS of PA | Medicare | $1,513.58 | ↓ -38% |
| Humana | Medicare | $1,528.87 | ↓ -37% |
| Aetna | Medicare | $1,594.61 | ↓ -35% |
| Geisinger | Medicare | $1,605.31 | ↓ -34% |
| Cigna | Medicare | $1,605.31 | ↓ -34% |
| United Healthcare | Medicare | $1,635.89 | ↓ -33% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,651.18 | ↓ -32% |
| UPMC Health Plan | CHIP | $2,299.36 | ↓ -6% |
| Aetna | ACO | $2,310.62 | ↓ -5% |
| Keystone Autism Services | ACAP | $2,446.19 | ↑ +0% |
| Geisinger | Commercial | $2,663.73 | ↑ +9% |
| Capital Blue Cross | Commercial | $2,764.61 | ↑ +13% |
| Capital Blue Cross | CHIP | $2,764.61 | ↑ +13% |
| Keystone Health Plan | Commercial | $2,764.61 | ↑ +13% |
| UPMC Health Plan | Commercial | $2,847.60 | ↑ +17% |
| Aetna | Commercial | $2,961.50 | ↑ +21% |
| Cigna | Commercial | $3,173.04 | ↑ +30% |
| CareFirst | Commercial | $3,457.80 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,457.80 | ↑ +42% |
| Wellspan Population Health | Commercial | $3,539.16 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $5,071.87 | ↑ +108% |
| Highmark BCBS of PA | Commercial | $5,438.19 | ↑ +123% |
| 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
Cltx carpl scphd fx w/mnpj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,440.80 | $196.85 – $3,457.80 |
| UPMC Community Osteopathic | Harrisburg | $2,440.80 | $196.85 – $3,457.80 |
| UPMC Lititz | Lititz | $2,440.80 | $196.85 – $2,459.41 |
| UPMC Memorial | York | $2,440.80 | $196.85 – $2,455.41 |
| UPMC Muncy | Muncy | $3,184.20 | $170.50 – $993.28 |
| UPMC Passavant-McCandless | Pittsburgh | $3,769.20 | $170.50 – $1,678.38 |
| UPMC Presbyterian | Pittsburgh | $5,289.00 | $170.50 – $1,678.38 |
| UPMC Somerset | Somerset | $2,440.80 | $170.50 – $1,525.80 |