Complx repair fccmnaxghf 13133 at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$1,089.00
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.
?
What you pay up front if you don't use insurance.
$1,815.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$141.10 with United Healthcare Community Plan for Families vs $1,579.05 with Wellspan Population Health — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $141.10 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $274.28 | ↓ -75% |
| Keystone Health Plan | Medicare Advantage | $344.85 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $344.85 | ↓ -68% |
| Prime Net | Managed Medicare | $439.23 | ↓ -60% |
| Aetna | Medicare | $642.51 | ↓ -41% |
| Geisinger | Medicaid/CHIP | $998.25 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $998.25 | ↓ -8% |
| Aetna | ACO | $1,030.92 | ↓ -5% |
| Geisinger | Commercial | $1,188.46 | ↑ +9% |
| Keystone Health Plan | Commercial | $1,233.47 | ↑ +13% |
| Capital Blue Cross | Commercial | $1,233.47 | ↑ +13% |
| Capital Blue Cross | CHIP | $1,233.47 | ↑ +13% |
| UPMC Health Plan | Commercial | $1,270.50 | ↑ +17% |
| Aetna | Commercial | $1,321.32 | ↑ +21% |
| Cigna | Commercial | $1,415.70 | ↑ +30% |
| UPMC Health Plan | CHIP | $1,435.39 | ↑ +32% |
| CareFirst | Commercial | $1,542.75 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,542.75 | ↑ +42% |
| Wellspan Population Health | Commercial | $1,579.05 | ↑ +45% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair fccmnaxghf 13133 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $660.60 | $262.09 – $1,435.39 |
| UPMC Bedford | Everett | $604.80 | $252.00 – $907.20 |
| UPMC Carlisle | Carlisle | $1,089.00 | $141.10 – $1,542.75 |
| UPMC Cole | Coudersport | $635.40 | $108.94 – $1,470.59 |
| UPMC Community Osteopathic | Harrisburg | $1,089.00 | $141.10 – $1,542.75 |
| UPMC East | Monroeville | $1,380.00 | $262.09 – $1,840.00 |
| UPMC Hamot | Erie | $596.40 | $262.09 – $1,782.09 |
| UPMC Northwest | Seneca | $1,718.40 | $262.09 – $704.93 |