Eval/fit voice prosthesis iii, st at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$183.00
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.
$305.00
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.
$57.95 with Capital Blue Cross vs $591.00 with United Healthcare — 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $57.95 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $57.95 | ↓ -68% |
| Prime Net | Managed Medicare | $73.81 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $99.91 | ↓ -45% |
| Aetna | Medicare | $107.97 | ↓ -41% |
| PA Health & Wellness | PA Medicaid HMO | $167.75 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $167.75 | ↓ -8% |
| Aetna | ACO | $173.24 | ↓ -5% |
| Geisinger | Commercial | $199.71 | ↑ +9% |
| UPMC Work Partners | Workers Comp | $205.65 | ↑ +12% |
| Capital Blue Cross | Commercial | $207.28 | ↑ +13% |
| Capital Blue Cross | CHIP | $207.28 | ↑ +13% |
| Keystone Health Plan | Commercial | $207.28 | ↑ +13% |
| UPMC Health Plan | Commercial | $213.50 | ↑ +17% |
| Aetna | Commercial | $222.04 | ↑ +21% |
| CareFirst | Commercial | $259.25 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $259.25 | ↑ +42% |
| Wellspan Population Health | Commercial | $265.35 | ↑ +45% |
| Cigna | Commercial | $387.00 | ↑ +111% |
| UPMC Health Plan | CHIP | $394.91 | ↑ +116% |
| United Healthcare | Commercial | $591.00 | ↑ +223% |
Visitor-reported prices
Comments
Eval/fit voice prosthesis iii, st at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,056.00 | $196.51 – $1,408.00 |
| UPMC Cole | Coudersport | $324.00 | $128.77 – $432.00 |
| UPMC McKeesport | Mckeesport | $868.20 | $130.92 – $394.91 |
| UPMC Mercy | Pittsburgh | $852.60 | $201.59 – $311.84 |
| UPMC Muncy | Muncy | $310.20 | $97.63 – $210.22 |
| UPMC Passavant-McCandless | Pittsburgh | $955.80 | $196.51 – $573.07 |
| UPMC Presbyterian | Pittsburgh | $979.80 | $91.52 – $638.50 |
| UPMC St. Margaret | Pittsburgh | $806.40 | $196.51 – $484.59 |