Complx repair fccmnaxghf 13131 at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$911.40
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.
$1,519.00
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.
$90.17 with Highmark Wholecare (prev Gateway) vs $2,315.26 with UPMC Health Plan — 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 | $90.17 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $90.17 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $92.30 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $96.70 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $103.42 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $121.00 | ↓ -87% |
| Keystone Health Plan | Medicare Advantage | $288.61 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $288.61 | ↓ -68% |
| Prime Net | Managed Medicare | $367.60 | ↓ -60% |
| Highmark BCBS of PA | Medicare | $377.85 | ↓ -59% |
| Humana | Medicare | $381.67 | ↓ -58% |
| Aetna | Medicare | $398.08 | ↓ -56% |
| Geisinger | Medicare | $400.75 | ↓ -56% |
| Cigna | Medicare | $400.75 | ↓ -56% |
| United Healthcare | Medicare | $408.39 | ↓ -55% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $412.20 | ↓ -55% |
| UPMC Work Partners | Workers Comp | $502.09 | ↓ -45% |
| Keystone Autism Services | ACAP | $610.67 | ↓ -33% |
| Aetna | ACO | $862.79 | ↓ -5% |
| Geisinger | Commercial | $994.64 | ↑ +9% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↑ +12% |
| Keystone Health Plan | Commercial | $1,032.31 | ↑ +13% |
| Capital Blue Cross | CHIP | $1,032.31 | ↑ +13% |
| Capital Blue Cross | Commercial | $1,032.31 | ↑ +13% |
| UPMC Health Plan | Commercial | $1,063.30 | ↑ +17% |
| Aetna | Commercial | $1,105.83 | ↑ +21% |
| Cigna | Commercial | $1,184.82 | ↑ +30% |
| Highmark BCBS of PA | Medicaid | $1,266.15 | ↑ +39% |
| CareFirst | Commercial | $1,291.15 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,291.15 | ↑ +42% |
| Wellspan Population Health | Commercial | $1,321.53 | ↑ +45% |
| Highmark BCBS of PA | Commercial | $1,357.60 | ↑ +49% |
| UPMC Health Plan | CHIP | $2,315.26 | ↑ +154% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair fccmnaxghf 13131 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,440.60 | $71.00 – $1,920.80 |
| UPMC Bedford | Everett | $4,893.00 | $74.55 – $7,339.50 |
| UPMC Carlisle | Carlisle | $911.40 | $90.17 – $1,291.15 |
| UPMC Cole | Coudersport | $1,693.20 | $74.55 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $911.40 | $90.17 – $2,315.26 |
| UPMC East | Monroeville | $3,824.40 | $78.10 – $5,099.20 |
| UPMC Hamot | Erie | $3,123.00 | $78.10 – $729.80 |
| UPMC Northwest | Seneca | $2,186.40 | $78.10 – $479.78 |