Exc forearm les sc 3 cm/> 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.
$651.55 with UPMC Work Partners vs $16,693.00 with Cigna — 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 Work Partners | Workers Comp | $651.55 | — |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | — |
| Highmark BCBS of PA | Medicare | $1,532.34 | — |
| Humana | Medicare | $1,547.82 | — |
| Aetna | Medicare | $1,614.38 | — |
| Cigna | Medicare | $1,625.21 | — |
| Geisinger | Medicare | $1,625.21 | — |
| United Healthcare | Medicare | $1,656.17 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,671.65 | — |
| Keystone Autism Services | ACAP | $2,476.51 | — |
| UPMC Health Plan | CHIP | $2,574.43 | — |
| Highmark BCBS of PA | Medicaid | $5,134.74 | — |
| Highmark BCBS of PA | Commercial | $5,505.60 | — |
| Cigna | Commercial | $16,693.00 | — |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| Aetna | ACO | not published by hospital | — |
| Aetna | Commercial | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Exc forearm les sc 3 cm/> at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $735.60 | $339.85 – $1,041.88 |
| Uniontown Hospital | Uniontown | $1,921.00 | $205.80 – $3,324.90 |
| UPMC Community Osteopathic | Harrisburg | not published | $651.55 – $7,348.95 |
| UPMC Northwest | Seneca | not published | $622.59 – $1,668.28 |
| UPMC Lititz | Lititz | not published | $651.55 – $2,574.43 |
| UPMC Memorial | York | not published | $608.98 – $2,574.43 |
| UPMC Presbyterian | Pittsburgh | not published | $700.30 – $1,699.17 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $10,638.00 – $10,638.00 |