Exc mal+marg tal 2.1-3 cm 11603 at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$2,034.60
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.
$3,391.00
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.
$108.58 with Highmark Wholecare (prev Gateway) vs $3,397.00 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $108.58 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $108.58 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $111.15 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $116.45 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $124.54 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $145.71 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $512.98 | ↓ -75% |
| Keystone Health Plan | Medicare Advantage | $644.29 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $644.29 | ↓ -68% |
| Highmark BCBS of PA | Medicare | $665.42 | ↓ -67% |
| Humana | Medicare | $672.14 | ↓ -67% |
| Aetna | Medicare | $701.04 | ↓ -66% |
| Geisinger | Medicare | $705.75 | ↓ -65% |
| Cigna | Medicare | $705.75 | ↓ -65% |
| United Healthcare | Medicare | $719.19 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $725.91 | ↓ -64% |
| Prime Net | Managed Medicare | $820.62 | ↓ -60% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -50% |
| Keystone Autism Services | ACAP | $1,075.42 | ↓ -47% |
| UPMC Health Plan | CHIP | $1,714.50 | ↓ -16% |
| Aetna | ACO | $1,926.09 | ↓ -5% |
| Geisinger | Commercial | $2,220.43 | ↑ +9% |
| Highmark BCBS of PA | Medicaid | $2,229.76 | ↑ +10% |
| Capital Blue Cross | CHIP | $2,304.52 | ↑ +13% |
| Capital Blue Cross | Commercial | $2,304.52 | ↑ +13% |
| Keystone Health Plan | Commercial | $2,304.52 | ↑ +13% |
| UPMC Health Plan | Commercial | $2,373.70 | ↑ +17% |
| Highmark BCBS of PA | Commercial | $2,390.80 | ↑ +18% |
| Aetna | Commercial | $2,468.65 | ↑ +21% |
| United Healthcare | Commercial | $2,495.78 | ↑ +23% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,882.35 | ↑ +42% |
| CareFirst | Commercial | $2,882.35 | ↑ +42% |
| Wellspan Population Health | Commercial | $2,950.17 | ↑ +45% |
| Cigna | Commercial | $3,397.00 | ↑ +67% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Exc mal+marg tal 2.1-3 cm 11603 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,034.60 | $108.58 – $2,882.35 |
| UPMC Cole | Coudersport | $969.60 | $45.18 – $2,094.25 |
| UPMC Community Osteopathic | Harrisburg | $508.20 | $719.95 – $719.95 |
| UPMC Kane | Kane | $972.00 | $94.05 – $1,168.38 |
| UPMC Lititz | Lititz | $2,034.60 | $108.58 – $1,081.23 |
| UPMC Magee | Pittsburgh | $2,584.20 | $94.05 – $724.45 |
| UPMC Passavant-McCandless | Pittsburgh | $2,584.20 | $94.05 – $737.87 |
| UPMC Presbyterian | Pittsburgh | $4,057.80 | $94.05 – $931.20 |