Ghs speech-gen aug dev eval iii, st at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$116.40
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.
$194.00
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.
$36.86 with Capital Blue Cross vs $591.00 with United Healthcare — 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $36.86 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $36.86 | ↓ -68% |
| United Healthcare Community Plan for Families | PA Medicaid | $39.27 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $40.47 | ↓ -65% |
| UPMC Health Plan | CHIP | $43.01 | ↓ -63% |
| Prime Net | Managed Medicare | $46.95 | ↓ -60% |
| Aetna | Medicare | $68.68 | ↓ -41% |
| PA Health & Wellness | PA Medicaid HMO | $106.70 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $106.70 | ↓ -8% |
| Aetna | ACO | $110.19 | ↓ -5% |
| Geisinger | Commercial | $127.03 | ↑ +9% |
| Keystone Health Plan | Commercial | $131.84 | ↑ +13% |
| Capital Blue Cross | CHIP | $131.84 | ↑ +13% |
| Capital Blue Cross | Commercial | $131.84 | ↑ +13% |
| UPMC Health Plan | Commercial | $135.80 | ↑ +17% |
| Aetna | Commercial | $141.23 | ↑ +21% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $164.90 | ↑ +42% |
| CareFirst | Commercial | $164.90 | ↑ +42% |
| Wellspan Population Health | Commercial | $168.78 | ↑ +45% |
| Cigna | Commercial | $387.00 | ↑ +232% |
| United Healthcare | Commercial | $591.00 | ↑ +408% |
Visitor-reported prices
Comments
Ghs speech-gen aug dev eval iii, st at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $190.20 | $38.33 – $253.60 |
| UPMC Cole | Coudersport | $131.40 | $38.67 – $175.20 |
| UPMC Muncy | Muncy | $156.00 | $38.37 – $41.37 |
| UPMC Presbyterian | Pittsburgh | $189.00 | $35.98 – $69.54 |
| UPMC Wellsboro | Wellsboro | $188.80 | $38.37 – $38.67 |
| Uniontown Hospital | Uniontown | $141.00 | $35.51 – $95.04 |