Hc i-131 sodium iodide cap dx per mci at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$184.20
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.
$307.00
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.
$58.33 with Capital Blue Cross vs $438.82 with UPMC Health Plan — 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 | $58.33 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $58.33 | ↓ -68% |
| Prime Net | Managed Medicare | $74.29 | ↓ -60% |
| Aetna | Medicare | $108.68 | ↓ -41% |
| Cigna | Commercial | $114.59 | ↓ -38% |
| Geisinger | Medicaid/CHIP | $168.85 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $168.85 | ↓ -8% |
| Aetna | ACO | $174.38 | ↓ -5% |
| United Healthcare | Commercial | $189.11 | ↑ +3% |
| Geisinger | Commercial | $201.02 | ↑ +9% |
| Capital Blue Cross | CHIP | $208.64 | ↑ +13% |
| Capital Blue Cross | Commercial | $208.64 | ↑ +13% |
| Keystone Health Plan | Commercial | $208.64 | ↑ +13% |
| UPMC Health Plan | Commercial | $214.90 | ↑ +17% |
| Aetna | Commercial | $223.50 | ↑ +21% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $260.95 | ↑ +42% |
| CareFirst | Commercial | $260.95 | ↑ +42% |
| Wellspan Population Health | Commercial | $267.09 | ↑ +45% |
| UPMC Health Plan | CHIP | $438.82 | ↑ +138% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Hc i-131 sodium iodide cap dx per mci at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $603.00 | $283.35 – $804.00 |
| UPMC Carlisle | Carlisle | $184.20 | $42.06 – $260.95 |
| UPMC Community Osteopathic | Harrisburg | $184.20 | $61.40 – $510.09 |
| UPMC Hamot | Erie | $673.80 | $40.70 – $260.30 |
| UPMC Jameson | New Castle | $369.60 | $66.42 – $438.82 |
| UPMC Lititz | Lititz | $184.20 | $66.42 – $438.82 |
| UPMC Memorial | York | $184.20 | $66.42 – $438.82 |
| UPMC Muncy | Muncy | $190.20 | $47.55 – $285.30 |