Colporrhapy/vag injury sut/non ob 57200 at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$6,660.60
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.
$11,101.00
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.
$167.00 with Highmark Wholecare (prev Gateway) vs $10,804.07 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 | $167.00 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $167.00 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $170.95 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $179.10 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $191.54 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $224.10 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $678.71 | ↓ -90% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -85% |
| UPMC Health Plan | CHIP | $1,732.81 | ↓ -74% |
| Capital Blue Cross | Medicare Advantage | $2,109.19 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $2,109.19 | ↓ -68% |
| Prime Net | Managed Medicare | $2,686.44 | ↓ -60% |
| Highmark BCBS of PA | Medicare | $3,007.04 | ↓ -55% |
| Humana | Medicare | $3,037.41 | ↓ -54% |
| Aetna | Medicare | $3,168.02 | ↓ -52% |
| Geisinger | Medicare | $3,189.28 | ↓ -52% |
| Cigna | Medicare | $3,189.28 | ↓ -52% |
| United Healthcare | Medicare | $3,250.03 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,280.40 | ↓ -51% |
| Keystone Autism Services | ACAP | $4,859.86 | ↓ -27% |
| Aetna | ACO | $6,305.37 | ↓ -5% |
| Geisinger | Commercial | $7,268.93 | ↑ +9% |
| Keystone Health Plan | Commercial | $7,544.24 | ↑ +13% |
| Capital Blue Cross | Commercial | $7,544.24 | ↑ +13% |
| Capital Blue Cross | CHIP | $7,544.24 | ↑ +13% |
| UPMC Health Plan | Commercial | $7,770.70 | ↑ +17% |
| Aetna | Commercial | $8,081.53 | ↑ +21% |
| Cigna | Commercial | $8,658.78 | ↑ +30% |
| CareFirst | Commercial | $9,435.85 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $9,435.85 | ↑ +42% |
| Wellspan Population Health | Commercial | $9,657.87 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $10,076.30 | ↑ +51% |
| Highmark BCBS of PA | Commercial | $10,804.07 | ↑ +62% |
| 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
Colporrhapy/vag injury sut/non ob 57200 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,792.60 | $131.50 – $5,056.80 |
| UPMC Carlisle | Carlisle | $6,660.60 | $167.00 – $9,435.85 |
| UPMC Community Osteopathic | Harrisburg | $6,660.60 | $167.00 – $9,435.85 |
| UPMC Lititz | Lititz | $6,660.60 | $167.00 – $4,886.10 |
| UPMC Magee | Pittsburgh | $2,967.00 | $144.65 – $3,273.80 |
| UPMC Memorial | York | $6,660.60 | $167.00 – $4,878.16 |
| UPMC Muncy | Muncy | $3,435.60 | $144.65 – $993.28 |
| UPMC Passavant-McCandless | Pittsburgh | $3,077.40 | $144.65 – $3,334.43 |