Ghs removal pharyngeal foreign body at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$550.80
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.
$918.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$82.55 with Highmark Wholecare (prev Gateway) vs $1,355.93 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $82.55 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $82.55 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $84.50 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $88.53 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $94.68 | ↓ -83% |
| PA Health & Wellness | PA Medicaid HMO | $110.77 | ↓ -80% |
| UPMC Health Plan | CHIP | $166.38 | ↓ -70% |
| Capital Blue Cross | Medicare Advantage | $174.42 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $174.42 | ↓ -68% |
| Prime Net | Managed Medicare | $222.16 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $255.31 | ↓ -54% |
| Highmark BCBS of PA | Medicare | $377.39 | ↓ -31% |
| Humana | Medicare | $381.20 | ↓ -31% |
| Aetna | Medicare | $397.59 | ↓ -28% |
| Geisinger | Medicare | $400.26 | ↓ -27% |
| Cigna | Medicare | $400.26 | ↓ -27% |
| United Healthcare | Medicare | $407.88 | ↓ -26% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $411.70 | ↓ -25% |
| Aetna | ACO | $521.42 | ↓ -5% |
| Geisinger | Commercial | $601.11 | ↑ +9% |
| Keystone Autism Services | ACAP | $609.92 | ↑ +11% |
| Capital Blue Cross | CHIP | $623.87 | ↑ +13% |
| Keystone Health Plan | Commercial | $623.87 | ↑ +13% |
| Capital Blue Cross | Commercial | $623.87 | ↑ +13% |
| UPMC Health Plan | Commercial | $642.60 | ↑ +17% |
| Aetna | Commercial | $668.30 | ↑ +21% |
| Cigna | Commercial | $716.04 | ↑ +30% |
| CareFirst | Commercial | $780.30 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $780.30 | ↑ +42% |
| Wellspan Population Health | Commercial | $798.66 | ↑ +45% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↑ +85% |
| Highmark BCBS of PA | Medicaid | $1,264.59 | ↑ +130% |
| Highmark BCBS of PA | Commercial | $1,355.93 | ↑ +146% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs removal pharyngeal foreign body at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $343.20 | $55.76 – $457.60 |
| UPMC Carlisle | Carlisle | $550.80 | $82.55 – $1,016.56 |
| UPMC Cole | Coudersport | $604.80 | $34.65 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $550.80 | $82.55 – $1,016.56 |
| UPMC East | Monroeville | $307.80 | $56.30 – $410.40 |
| UPMC Kane | Kane | $339.00 | $71.50 – $856.29 |
| UPMC Lititz | Lititz | $550.80 | $82.55 – $1,016.56 |
| UPMC Memorial | York | $550.80 | $45.45 – $1,016.56 |