Immunoassay tumor antigen quantitative ca 125 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.
$20.60 with Highmark BCBS of PA vs $168.78 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $20.60 | ↓ -82% |
| Aetna | Commercial | $20.81 | ↓ -82% |
| Humana | Medicare | $20.81 | ↓ -82% |
| Aetna | ACO | $20.81 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $21.53 | ↓ -82% |
| Aetna | Medicare | $21.70 | ↓ -81% |
| Cigna | Medicare | $21.85 | ↓ -81% |
| Geisinger | Medicare | $21.85 | ↓ -81% |
| United Healthcare | Medicare | $22.27 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $22.47 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $23.01 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.22 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $29.91 | ↓ -74% |
| United Healthcare Community Plan for Families | PA Medicaid | $30.14 | ↓ -74% |
| United Healthcare | Commercial | $30.84 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $31.34 | ↓ -73% |
| Keystone Autism Services | ACAP | $33.30 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $33.52 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $36.86 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $36.86 | ↓ -68% |
| PA Health & Wellness | PA Medicaid HMO | $39.21 | ↓ -66% |
| Prime Net | Managed Medicare | $46.95 | ↓ -60% |
| Cigna | Commercial | $54.12 | ↓ -54% |
| Highmark BCBS of PA | Medicaid | $69.04 | ↓ -41% |
| Highmark BCBS of PA | Commercial | $74.02 | ↓ -36% |
| UPMC Health Plan | CHIP | $82.04 | ↓ -30% |
| Geisinger | Commercial | $127.03 | ↑ +9% |
| Capital Blue Cross | Commercial | $131.84 | ↑ +13% |
| Capital Blue Cross | CHIP | $131.84 | ↑ +13% |
| Keystone Health Plan | Commercial | $131.84 | ↑ +13% |
| UPMC Health Plan | Commercial | $135.80 | ↑ +17% |
| CareFirst | Commercial | $164.90 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $164.90 | ↑ +42% |
| Wellspan Population Health | Commercial | $168.78 | ↑ +45% |
Visitor-reported prices
Comments
Immunoassay tumor antigen quantitative ca 125 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $169.20 | $20.57 – $225.60 |
| UPMC Bedford | Everett | $133.20 | $7.51 – $199.80 |
| UPMC Carlisle | Carlisle | $116.40 | $20.60 – $164.90 |
| UPMC Cole | Coudersport | $193.20 | $13.53 – $257.60 |
| UPMC Community Osteopathic | Harrisburg | $116.40 | $20.60 – $164.90 |
| UPMC East | Monroeville | $427.20 | $20.57 – $569.60 |
| UPMC Hamot | Erie | $304.80 | $20.57 – $55.24 |
| UPMC Northwest | Seneca | $141.00 | $18.87 – $26.46 |