Influenza dna amp prob addl at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$105.00
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.
$175.00
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.
$23.38 with AmeriHealth Caritas vs $152.25 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $23.38 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $28.93 | ↓ -72% |
| Aetna | Commercial | $29.22 | ↓ -72% |
| Humana | Medicare | $29.22 | ↓ -72% |
| Aetna | ACO | $29.22 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.69 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $30.22 | ↓ -71% |
| UPMC Health Plan | Managed Medicaid | $30.39 | ↓ -71% |
| Aetna | Medicare | $30.48 | ↓ -71% |
| United Healthcare Community Plan for Families | PA Medicaid | $30.63 | ↓ -71% |
| Geisinger | Medicare | $30.68 | ↓ -71% |
| Cigna | Medicare | $30.68 | ↓ -71% |
| United Healthcare | Medicare | $31.27 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $31.56 | ↓ -70% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $31.84 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $33.25 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $33.25 | ↓ -68% |
| Geisinger | Medicaid/CHIP | $34.06 | ↓ -68% |
| PA Health & Wellness | PA Medicaid HMO | $39.84 | ↓ -62% |
| Prime Net | Managed Medicare | $42.35 | ↓ -60% |
| Keystone Autism Services | ACAP | $46.75 | ↓ -55% |
| Cigna | Commercial | $75.96 | ↓ -28% |
| Highmark BCBS of PA | Medicaid | $96.93 | ↓ -8% |
| Highmark BCBS of PA | Commercial | $103.94 | ↓ -1% |
| Geisinger | Commercial | $114.59 | ↑ +9% |
| Keystone Health Plan | Commercial | $118.93 | ↑ +13% |
| Capital Blue Cross | Commercial | $118.93 | ↑ +13% |
| Capital Blue Cross | CHIP | $118.93 | ↑ +13% |
| UPMC Health Plan | Commercial | $122.50 | ↑ +17% |
| United Healthcare | Commercial | $126.07 | ↑ +20% |
| UPMC Health Plan | CHIP | $139.33 | ↑ +33% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $148.75 | ↑ +42% |
| CareFirst | Commercial | $148.75 | ↑ +42% |
| Wellspan Population Health | Commercial | $152.25 | ↑ +45% |
Visitor-reported prices
Comments
Influenza dna amp prob addl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $325.20 | $23.38 – $433.60 |
| UPMC Carlisle | Carlisle | $105.00 | $23.38 – $148.75 |
| UPMC Community Osteopathic | Harrisburg | $105.00 | $23.38 – $148.75 |
| UPMC Northwest | Seneca | $342.00 | $25.72 – $31.56 |
| UPMC Horizon-Greenville | Greenville | $207.00 | $23.38 – $54.83 |
| UPMC Lititz | Lititz | $105.00 | $23.38 – $46.75 |
| UPMC Memorial | York | $105.00 | $23.38 – $144.77 |
| UPMC Muncy | Muncy | $279.00 | $25.72 – $39.84 |