Emb without cervical dilation 58100 at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$378.00
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.
$630.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$64.77 with AmeriHealth Caritas 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $64.77 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $64.77 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $66.30 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $69.46 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $74.29 | ↓ -80% |
| PA Health & Wellness | PA Medicaid HMO | $86.91 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $119.70 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $119.70 | ↓ -68% |
| Prime Net | Managed Medicare | $152.46 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $169.99 | ↓ -55% |
| Highmark BCBS of PA | Medicare | $190.26 | ↓ -50% |
| Humana | Medicare | $192.18 | ↓ -49% |
| Aetna | Medicare | $200.44 | ↓ -47% |
| Cigna | Medicare | $201.79 | ↓ -47% |
| Geisinger | Medicare | $201.79 | ↓ -47% |
| United Healthcare | Medicare | $205.63 | ↓ -46% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $207.55 | ↓ -45% |
| Keystone Autism Services | ACAP | $307.49 | ↓ -19% |
| Aetna | ACO | $357.84 | ↓ -5% |
| Geisinger | Commercial | $412.52 | ↑ +9% |
| Keystone Health Plan | Commercial | $428.15 | ↑ +13% |
| Capital Blue Cross | CHIP | $428.15 | ↑ +13% |
| Capital Blue Cross | Commercial | $428.15 | ↑ +13% |
| UPMC Health Plan | Commercial | $441.00 | ↑ +17% |
| Aetna | Commercial | $458.64 | ↑ +21% |
| United Healthcare | Commercial | $463.68 | ↑ +23% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $535.50 | ↑ +42% |
| CareFirst | Commercial | $535.50 | ↑ +42% |
| Wellspan Population Health | Commercial | $548.10 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $637.54 | ↑ +69% |
| Highmark BCBS of PA | Commercial | $683.58 | ↑ +81% |
| United Healthcare Community Plan for Families | PA Medicaid | $956.30 | ↑ +153% |
| UPMC Health Plan | CHIP | $1,065.46 | ↑ +182% |
| Cigna | Commercial | $9,539.00 | ↑ +2424% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Emb without cervical dilation 58100 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $128.40 | $51.00 – $334.58 |
| UPMC Community Osteopathic | Harrisburg | $378.00 | $64.77 – $1,065.46 |
| UPMC Hamot | Erie | $1,928.40 | $56.10 – $334.58 |
| UPMC Northwest | Seneca | $2,193.00 | $56.10 – $201.38 |
| UPMC Kane | Kane | $379.80 | $56.10 – $428.67 |
| UPMC Magee | Pittsburgh | $1,057.80 | $56.10 – $337.77 |
| UPMC Memorial | York | $378.00 | $64.77 – $956.30 |
| UPMC Passavant-McCandless | Pittsburgh | $2,178.60 | $56.10 – $337.77 |