Ghs refill of implantable pump at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$774.60
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.
$1,291.00
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.
$60.27 with Highmark Wholecare (prev Gateway) vs $1,127.07 with Highmark BCBS of PA — 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 | $60.27 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $60.27 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $61.70 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $62.17 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $64.64 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $69.13 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $80.88 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $106.30 | ↓ -86% |
| UPMC Health Plan | CHIP | $165.76 | ↓ -79% |
| Capital Blue Cross | Medicare Advantage | $245.29 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $245.29 | ↓ -68% |
| Prime Net | Managed Medicare | $312.42 | ↓ -60% |
| Highmark BCBS of PA | Medicare | $313.69 | ↓ -60% |
| Humana | Medicare | $316.86 | ↓ -59% |
| Aetna | Medicare | $330.48 | ↓ -57% |
| Geisinger | Medicare | $332.70 | ↓ -57% |
| Cigna | Medicare | $332.70 | ↓ -57% |
| United Healthcare | Medicare | $339.04 | ↓ -56% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $342.21 | ↓ -56% |
| United Healthcare | Commercial | $399.00 | ↓ -48% |
| Keystone Autism Services | ACAP | $506.98 | ↓ -35% |
| Aetna | ACO | $733.29 | ↓ -5% |
| Geisinger | Commercial | $845.35 | ↑ +9% |
| Capital Blue Cross | CHIP | $877.36 | ↑ +13% |
| Keystone Health Plan | Commercial | $877.36 | ↑ +13% |
| Capital Blue Cross | Commercial | $877.36 | ↑ +13% |
| UPMC Health Plan | Commercial | $903.70 | ↑ +17% |
| Aetna | Commercial | $939.85 | ↑ +21% |
| Cigna | Commercial | $1,006.98 | ↑ +30% |
| Highmark BCBS of PA | Medicaid | $1,051.15 | ↑ +36% |
| CareFirst | Commercial | $1,097.35 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,097.35 | ↑ +42% |
| Wellspan Population Health | Commercial | $1,123.17 | ↑ +45% |
| Highmark BCBS of PA | Commercial | $1,127.07 | ↑ +46% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs refill of implantable pump at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $77.40 | $17.19 – $101.57 |
| UPMC Community Osteopathic | Harrisburg | $774.60 | $60.27 – $1,097.35 |
| UPMC Hamot | Erie | $726.60 | $22.60 – $459.65 |
| UPMC Magee | Pittsburgh | $361.20 | $42.41 – $341.53 |
| UPMC Memorial | York | $774.60 | $34.24 – $508.90 |
| UPMC Mercy | Pittsburgh | $370.80 | $42.01 – $347.85 |
| UPMC Passavant-McCandless | Pittsburgh | $253.20 | $42.41 – $347.85 |
| UPMC Somerset | Somerset | $774.60 | $41.58 – $316.23 |