Infectious agent antigen immunoassay ql/sq multi step cryptosporidium at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$36.60
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.
$61.00
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.
$11.04 with United Healthcare Community Plan for Families vs $53.07 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 Community Plan for Families | PA Medicaid | $11.04 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $11.59 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $11.59 | ↓ -68% |
| Highmark BCBS of PA | Medicare | $13.68 | ↓ -63% |
| Aetna | ACO | $13.82 | ↓ -62% |
| Aetna | Commercial | $13.82 | ↓ -62% |
| Humana | Medicare | $13.82 | ↓ -62% |
| UPMC Work Partners | Workers Comp | $14.30 | ↓ -61% |
| Aetna | Medicare | $14.41 | ↓ -61% |
| Cigna | Medicare | $14.51 | ↓ -60% |
| Geisinger | Medicare | $14.51 | ↓ -60% |
| Prime Net | Managed Medicare | $14.76 | ↓ -60% |
| United Healthcare | Medicare | $14.79 | ↓ -60% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $14.93 | ↓ -59% |
| United Healthcare | Commercial | $17.76 | ↓ -51% |
| Keystone Autism Services | ACAP | $22.11 | ↓ -40% |
| Geisinger | Medicaid/CHIP | $33.55 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $33.55 | ↓ -8% |
| Cigna | Commercial | $35.92 | ↓ -2% |
| Geisinger | Commercial | $39.94 | ↑ +9% |
| Capital Blue Cross | Commercial | $41.46 | ↑ +13% |
| Capital Blue Cross | CHIP | $41.46 | ↑ +13% |
| Keystone Health Plan | Commercial | $41.46 | ↑ +13% |
| UPMC Health Plan | Commercial | $42.70 | ↑ +17% |
| Highmark BCBS of PA | Medicaid | $45.85 | ↑ +25% |
| Highmark BCBS of PA | Commercial | $49.16 | ↑ +34% |
| UPMC Health Plan | CHIP | $51.46 | ↑ +41% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $51.85 | ↑ +42% |
| CareFirst | Commercial | $51.85 | ↑ +42% |
| Wellspan Population Health | Commercial | $53.07 | ↑ +45% |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $88.80 | $13.67 – $118.40 |
| UPMC Bedford | Everett | $41.40 | $4.99 – $62.10 |
| UPMC East | Monroeville | $126.60 | $13.67 – $168.80 |
| UPMC Northwest | Seneca | $100.20 | $12.53 – $14.93 |
| UPMC Horizon-Greenville | Greenville | $60.00 | $12.37 – $25.73 |
| UPMC Jameson | New Castle | $60.00 | $9.69 – $16.19 |
| UPMC Magee | Pittsburgh | $52.20 | $12.93 – $16.06 |
| UPMC McKeesport | Mckeesport | $70.80 | $12.81 – $16.06 |