Ercp bil/panc duct; each stent plcmt 43274 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$172.48 with UPMC Health Plan vs $20,227.66 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Health Plan | CHIP | $172.48 | — |
| UPMC Work Partners | Workers Comp | $718.41 | — |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | — |
| Highmark BCBS of PA | Medicare | $5,629.85 | — |
| Humana | Medicare | $5,686.72 | — |
| Aetna | Medicare | $5,931.25 | — |
| Geisinger | Medicare | $5,971.06 | — |
| Cigna | Medicare | $5,971.06 | — |
| United Healthcare | Medicare | $6,084.79 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6,141.66 | — |
| Keystone Autism Services | ACAP | $9,098.75 | — |
| Cigna | Commercial | $16,693.00 | — |
| Highmark BCBS of PA | Medicaid | $18,865.12 | — |
| Highmark BCBS of PA | Commercial | $20,227.66 | — |
| 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
Ercp bil/panc duct; each stent plcmt 43274 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,517.80 | $172.48 – $6,129.31 |
| UPMC Cole | Coudersport | $858.60 | $172.48 – $1,144.80 |
| UPMC East | Monroeville | $3,055.20 | $98.53 – $6,129.31 |
| UPMC Hamot | Erie | $4,961.40 | $214.14 – $8,254.31 |
| UPMC Jameson | New Castle | $2,754.00 | $172.48 – $7,661.64 |
| UPMC Magee | Pittsburgh | $3,596.40 | $156.59 – $6,242.82 |
| UPMC McKeesport | Mckeesport | $3,033.60 | $93.93 – $6,242.82 |
| UPMC Mercy | Pittsburgh | $4,282.20 | $95.34 – $6,242.82 |