Endovenous rf abl vein addl at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$3,600.60
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.
$6,001.00
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.
$186.61 with United Healthcare Community Plan for Families 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $186.61 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $779.36 | ↓ -78% |
| UPMC Health Plan | CHIP | $976.64 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $1,140.19 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $1,140.19 | ↓ -68% |
| Prime Net | Managed Medicare | $1,452.24 | ↓ -60% |
| Aetna | Medicare | $2,124.35 | ↓ -41% |
| Geisinger | Medicaid/CHIP | $3,300.55 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $3,300.55 | ↓ -8% |
| Geisinger | Commercial | $3,929.45 | ↑ +9% |
| Capital Blue Cross | Commercial | $4,078.28 | ↑ +13% |
| Capital Blue Cross | CHIP | $4,078.28 | ↑ +13% |
| Keystone Health Plan | Commercial | $4,078.28 | ↑ +13% |
| UPMC Health Plan | Commercial | $4,200.70 | ↑ +17% |
| CareFirst | Commercial | $5,100.85 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5,100.85 | ↑ +42% |
| Wellspan Population Health | Commercial | $5,220.87 | ↑ +45% |
| Cigna | Commercial | $9,539.00 | ↑ +165% |
| Aetna | Commercial | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| Aetna | ACO | not published by hospital | — |
Visitor-reported prices
Comments
Endovenous rf abl vein addl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $4,222.20 | $744.73 – $5,629.60 |
| UPMC Hamot | Erie | $4,155.60 | $744.73 – $1,212.53 |
| UPMC Magee | Pittsburgh | $4,121.40 | $157.55 – $764.00 |
| UPMC McKeesport | Mckeesport | $3,672.00 | $157.55 – $764.00 |
| UPMC Memorial | York | $3,600.60 | $143.23 – $976.64 |
| UPMC Passavant-McCandless | Pittsburgh | $3,909.00 | $441.44 – $865.96 |
| UPMC Presbyterian | Pittsburgh | $3,058.80 | $170.94 – $995.42 |
| UPMC St. Margaret | Pittsburgh | $3,485.40 | $438.32 – $764.00 |