Dissolve clot heart vessel at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$1,274.40
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.
?
What you pay up front if you don't use insurance.
$2,124.00
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.
$403.56 with Capital Blue Cross vs $17,298.00 with Cigna — 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $403.56 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $403.56 | ↓ -68% |
| United Healthcare Community Plan for Families | PA Medicaid | $481.56 | ↓ -62% |
| Prime Net | Managed Medicare | $514.01 | ↓ -60% |
| Aetna | Medicare | $751.90 | ↓ -41% |
| Geisinger | Medicaid/CHIP | $1,168.20 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $1,168.20 | ↓ -8% |
| Aetna | ACO | $1,206.43 | ↓ -5% |
| UPMC Work Partners | Workers Comp | $1,266.35 | ↓ -1% |
| Geisinger | Commercial | $1,390.80 | ↑ +9% |
| Keystone Health Plan | Commercial | $1,443.47 | ↑ +13% |
| Capital Blue Cross | CHIP | $1,443.47 | ↑ +13% |
| Capital Blue Cross | Commercial | $1,443.47 | ↑ +13% |
| UPMC Health Plan | CHIP | $1,486.80 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,486.80 | ↑ +17% |
| Aetna | Commercial | $1,546.27 | ↑ +21% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,805.40 | ↑ +42% |
| CareFirst | Commercial | $1,805.40 | ↑ +42% |
| Wellspan Population Health | Commercial | $1,847.88 | ↑ +45% |
| Cigna | Commercial | $17,298.00 | ↑ +1257% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Dissolve clot heart vessel at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,274.40 | $290.99 – $17,298.00 |
| UPMC Community Osteopathic | Harrisburg | $1,274.40 | $424.80 – $1,834.20 |
| UPMC Lititz | Lititz | $1,274.40 | $481.56 – $2,143.34 |
| UPMC Memorial | York | $1,274.40 | $239.10 – $1,266.35 |
| UPMC Somerset | Somerset | $1,274.40 | $290.39 – $2,048.08 |