Echo exam of fetal heart at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$424.80
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.
$708.00
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.
$47.88 with United Healthcare Community Plan for Families vs $615.96 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 | $47.88 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $81.84 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $81.84 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $83.77 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $87.77 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $93.86 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $100.57 | ↓ -76% |
| Humana | Medicare | $101.59 | ↓ -76% |
| Aetna | Medicare | $105.96 | ↓ -75% |
| Geisinger | Medicare | $106.67 | ↓ -75% |
| Cigna | Medicare | $106.67 | ↓ -75% |
| United Healthcare | Medicare | $108.70 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $109.72 | ↓ -74% |
| PA Health & Wellness | PA Medicaid HMO | $109.82 | ↓ -74% |
| Keystone Health Plan | Medicare Advantage | $134.52 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $134.52 | ↓ -68% |
| Keystone Autism Services | ACAP | $162.54 | ↓ -62% |
| Prime Net | Managed Medicare | $171.34 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $311.26 | ↓ -27% |
| Premier Comp Solutions | Worker's Comp | $311.26 | ↓ -27% |
| Highmark BCBS of PA | Medicaid | $337.01 | ↓ -21% |
| Highmark BCBS of PA | Commercial | $361.36 | ↓ -15% |
| Aetna | ACO | $402.14 | ↓ -5% |
| UPMC Health Plan | CHIP | $418.60 | ↓ -1% |
| Geisinger | Commercial | $463.60 | ↑ +9% |
| Capital Blue Cross | CHIP | $481.16 | ↑ +13% |
| Capital Blue Cross | Commercial | $481.16 | ↑ +13% |
| Keystone Health Plan | Commercial | $481.16 | ↑ +13% |
| UPMC Health Plan | Commercial | $495.60 | ↑ +17% |
| Aetna | Commercial | $515.42 | ↑ +21% |
| United Healthcare | Commercial | $521.09 | ↑ +23% |
| Cigna | Commercial | $589.04 | ↑ +39% |
| CareFirst | Commercial | $601.80 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $601.80 | ↑ +42% |
| Wellspan Population Health | Commercial | $615.96 | ↑ +45% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Echo exam of fetal heart at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $804.60 | $36.55 – $1,072.80 |
| UPMC Carlisle | Carlisle | $424.80 | $47.88 – $601.80 |
| UPMC Community Osteopathic | Harrisburg | $424.80 | $47.88 – $601.80 |
| UPMC Hamot | Erie | $793.80 | $70.88 – $309.09 |
| UPMC Horizon-Greenville | Greenville | $605.40 | $70.88 – $297.42 |
| UPMC Lititz | Lititz | $424.80 | $47.88 – $313.61 |
| UPMC Magee | Pittsburgh | $427.20 | $70.88 – $309.09 |
| UPMC Memorial | York | $424.80 | $47.88 – $311.26 |