Dihydroergotamine 0.05 mg/ml IV syringe - cnr at UPMC Hanover

300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$89.40

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$149.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$5.32 with Capital Blue Cross vs $73.80 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 →

Payer
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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
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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
Capital Blue Cross Medicare Advantage $5.32 ↓ -94%
Keystone Health Plan Medicare Advantage $5.32 ↓ -94%
Prime Net Managed Medicare $6.78 ↓ -92%
Aetna Medicare $9.91 ↓ -89%
UPMC Work Partners Workers Comp $13.92 ↓ -84%
Aetna ACO $15.90 ↓ -82%
United Healthcare Commercial $17.25 ↓ -81%
Geisinger Commercial $18.33 ↓ -79%
Capital Blue Cross Commercial $19.03 ↓ -79%
Capital Blue Cross CHIP $19.03 ↓ -79%
Keystone Health Plan Commercial $19.03 ↓ -79%
UPMC Health Plan Commercial $19.60 ↓ -78%
Aetna Commercial $20.38 ↓ -77%
CareFirst Commercial $23.80 ↓ -73%
Multiplan PPO (Includes PHCS and Humana as Payers) $23.80 ↓ -73%
Wellspan Population Health Commercial $24.36 ↓ -73%
Cigna Commercial $59.70 ↓ -33%
PA Health & Wellness PA Medicaid HMO $60.00 ↓ -33%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $60.00 ↓ -33%
Geisinger Medicaid/CHIP $60.00 ↓ -33%
Highmark Wholecare (prev Gateway) Medicaid $61.20 ↓ -32%
UPMC Health Plan Managed Medicaid $66.00 ↓ -26%
UPMC Health Plan CHIP $73.80 ↓ -17%

Visitor-reported prices

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Dihydroergotamine 0.05 mg/ml IV syringe - cnr at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $276.00 $15.56 – $276.00
UPMC Bedford Everett $221.60 $37.89 – $249.30
UPMC Carlisle Carlisle $89.40 $3.84 – $61.20
UPMC Cole Coudersport $1,475.40 $49.13 – $1,967.20
UPMC Community Osteopathic Harrisburg $89.40 $5.60 – $73.80
UPMC East Monroeville $518.40 $15.71 – $518.40
UPMC Hamot Erie $574.40 $15.56 – $115.27
UPMC Jameson New Castle $104.00 $15.83 – $60.60

All Pennsylvania hospitals for this procedure →