healthcosts.net
ER Visit (level 4) at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$1,320.00
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.
$2,200.00
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.
$65.00 with AmeriHealth Caritas vs $1,914.00 with Wellspan Population Health — 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 | $65.00 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $104.86 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $123.93 | ↓ -91% |
| United Healthcare Community Plan for Families | PA Medicaid | $124.88 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $129.84 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $138.86 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $162.46 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $170.32 | ↓ -87% |
| Highmark BCBS of PA | Medicare | $402.72 | ↓ -69% |
| Humana | Medicare | $406.79 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $418.00 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $418.00 | ↓ -68% |
| Aetna | Medicare | $424.28 | ↓ -68% |
| Cigna | Medicare | $427.13 | ↓ -68% |
| Geisinger | Medicare | $427.13 | ↓ -68% |
| United Healthcare | Medicare | $435.27 | ↓ -67% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $439.33 | ↓ -67% |
| UPMC Health Plan | CHIP | $448.50 | ↓ -66% |
| Prime Net | Managed Medicare | $532.40 | ↓ -60% |
| Keystone Autism Services | ACAP | $650.86 | ↓ -51% |
| Aetna | ACO | $1,249.60 | ↓ -5% |
| Highmark BCBS of PA | Medicaid | $1,349.49 | ↑ +2% |
| Geisinger | Commercial | $1,440.56 | ↑ +9% |
| Highmark BCBS of PA | Commercial | $1,446.95 | ↑ +10% |
| Capital Blue Cross | CHIP | $1,495.12 | ↑ +13% |
| Keystone Health Plan | Commercial | $1,495.12 | ↑ +13% |
| Capital Blue Cross | Commercial | $1,495.12 | ↑ +13% |
| UPMC Health Plan | Commercial | $1,540.00 | ↑ +17% |
| Aetna | Commercial | $1,601.60 | ↑ +21% |
| Cigna | Commercial | $1,850.00 | ↑ +40% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,870.00 | ↑ +42% |
| CareFirst | Commercial | $1,870.00 | ↑ +42% |
| Wellspan Population Health | Commercial | $1,914.00 | ↑ +45% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 4) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,146.00 | $104.86 – $1,623.50 |
| UPMC Cole | Coudersport | $357.00 | $56.38 – $432.27 |
| UPMC East | Monroeville | $1,120.20 | $104.86 – $1,493.60 |
| UPMC Hamot | Erie | $1,581.00 | $104.86 – $1,844.50 |
| UPMC Altoona | Altoona | $1,012.20 | $123.00 – $1,349.60 |
| UPMC Carlisle | Carlisle | $1,320.00 | $65.00 – $1,870.00 |
| UPMC Bedford | Everett | $645.60 | $100.10 – $968.40 |
| UPMC Community Osteopathic | Harrisburg | $1,320.00 | $65.00 – $448.50 |