Drng of hydrocele 55000 at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
not published by hospital
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.
not published by hospital
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.
$44.45 with Highmark Wholecare (prev Gateway) vs $9,539.00 with Cigna — 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 | $44.45 | — |
| UPMC Health Plan | Managed Medicaid | $45.50 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.25 | — |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $47.67 | — |
| Geisinger | Medicaid/CHIP | $50.98 | — |
| PA Health & Wellness | PA Medicaid HMO | $59.65 | — |
| UPMC Health Plan | CHIP | $162.51 | — |
| UPMC Work Partners | Workers Comp | $174.86 | — |
| Highmark BCBS of PA | Medicare | $665.42 | — |
| Humana | Medicare | $672.14 | — |
| Aetna | Medicare | $701.04 | — |
| Cigna | Medicare | $705.75 | — |
| Geisinger | Medicare | $705.75 | — |
| United Healthcare | Medicare | $719.19 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $725.91 | — |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | — |
| Keystone Autism Services | ACAP | $1,075.42 | — |
| Highmark BCBS of PA | Medicaid | $2,229.76 | — |
| Highmark BCBS of PA | Commercial | $2,390.80 | — |
| Cigna | Commercial | $9,539.00 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| Aetna | Commercial | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| Aetna | ACO | not published by hospital | — |
Visitor-reported prices
Comments
Drng of hydrocele 55000 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $900.50 | $38.50 – $1,425.57 |
| UPMC Bedford | Everett | not published | $36.75 – $724.45 |
| UPMC Community Osteopathic | Harrisburg | not published | $47.25 – $2,656.50 |
| UPMC Hamot | Erie | not published | $38.50 – $975.61 |