Ghs sensitivity (per antimicro) at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$42.00
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.
$70.00
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.
$7.03 with United Healthcare vs $60.90 with Wellspan Population Health — 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 |
|---|---|---|---|
| United Healthcare | Commercial | $7.03 | ↓ -83% |
| Highmark BCBS of PA | Medicare | $7.41 | ↓ -82% |
| Aetna | Commercial | $7.48 | ↓ -82% |
| Humana | Medicare | $7.48 | ↓ -82% |
| Aetna | ACO | $7.48 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $7.73 | ↓ -82% |
| Aetna | Medicare | $7.80 | ↓ -81% |
| Cigna | Medicare | $7.85 | ↓ -81% |
| Geisinger | Medicare | $7.85 | ↓ -81% |
| United Healthcare | Medicare | $8.00 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $8.00 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $8.08 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.16 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $10.40 | ↓ -75% |
| United Healthcare Community Plan for Families | PA Medicaid | $10.48 | ↓ -75% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $10.90 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $11.65 | ↓ -72% |
| Keystone Autism Services | ACAP | $11.97 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $13.30 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $13.30 | ↓ -68% |
| PA Health & Wellness | PA Medicaid HMO | $13.63 | ↓ -68% |
| Prime Net | Managed Medicare | $16.94 | ↓ -60% |
| Cigna | Commercial | $19.44 | ↓ -54% |
| Highmark BCBS of PA | Medicaid | $24.81 | ↓ -41% |
| Highmark BCBS of PA | Commercial | $26.61 | ↓ -37% |
| UPMC Health Plan | CHIP | $28.00 | ↓ -33% |
| Geisinger | Commercial | $45.84 | ↑ +9% |
| Capital Blue Cross | Commercial | $47.57 | ↑ +13% |
| Capital Blue Cross | CHIP | $47.57 | ↑ +13% |
| Keystone Health Plan | Commercial | $47.57 | ↑ +13% |
| UPMC Health Plan | Commercial | $49.00 | ↑ +17% |
| CareFirst | Commercial | $59.50 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $59.50 | ↑ +42% |
| Wellspan Population Health | Commercial | $60.90 | ↑ +45% |
Visitor-reported prices
Comments
Ghs sensitivity (per antimicro) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $69.60 | $7.39 – $92.80 |
| UPMC Bedford | Everett | $86.40 | $2.70 – $129.60 |
| UPMC Carlisle | Carlisle | $42.00 | $7.03 – $59.50 |
| UPMC Community Osteopathic | Harrisburg | $42.00 | $7.41 – $53.55 |
| UPMC East | Monroeville | $102.60 | $7.39 – $136.80 |
| UPMC Hamot | Erie | $84.60 | $7.39 – $13.33 |
| UPMC Northwest | Seneca | $34.80 | $6.78 – $9.20 |
| UPMC Horizon-Greenville | Greenville | $32.40 | $6.70 – $14.04 |