Egd endo mucosal resection 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.
$419.17 with UPMC Work Partners vs $6,445.96 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $419.17 | — |
| UPMC Health Plan | CHIP | $1,008.22 | — |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | — |
| Highmark BCBS of PA | Medicare | $1,794.07 | — |
| Humana | Medicare | $1,812.19 | — |
| Aetna | Medicare | $1,890.11 | — |
| Geisinger | Medicare | $1,902.80 | — |
| Cigna | Medicare | $1,902.80 | — |
| United Healthcare | Medicare | $1,939.04 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,957.17 | — |
| Keystone Autism Services | ACAP | $2,899.50 | — |
| Highmark BCBS of PA | Medicaid | $6,011.76 | — |
| Cigna | Commercial | $6,413.00 | — |
| Highmark BCBS of PA | Commercial | $6,445.96 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Aetna | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| Aetna | ACO | not published by hospital | — |
Visitor-reported prices
Comments
Egd endo mucosal resection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $480.00 | $221.76 – $1,041.88 |
| UPMC McKeesport | Mckeesport | $866.40 | $212.31 – $1,989.40 |
| UPMC Mercy | Pittsburgh | $866.40 | $210.30 – $1,989.40 |
| UPMC Passavant-McCandless | Pittsburgh | $1,162.20 | $212.31 – $1,989.40 |
| UPMC Presbyterian | Pittsburgh | $5,542.20 | $212.31 – $1,989.40 |
| UPMC St. Margaret | Pittsburgh | $866.40 | $212.31 – $1,989.40 |
| UPMC Wellsboro | Wellsboro | $4,128.80 | $400.54 – $993.28 |
| UPMC Williamsport | Williamsport | $3,414.00 | $400.54 – $1,953.23 |