Initiation & management bipap/cpap initial day at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$627.00
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.
?
What you pay up front if you don't use insurance.
$1,045.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$44.88 with United Healthcare Community Plan for Families vs $909.15 with Wellspan Population Health — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $44.88 | ↓ -93% |
| United Healthcare | Commercial | $163.00 | ↓ -74% |
| UPMC Work Partners | Workers Comp | $169.49 | ↓ -73% |
| Highmark BCBS of PA | Medicare | $192.36 | ↓ -69% |
| Humana | Medicare | $194.30 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $198.55 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $198.55 | ↓ -68% |
| Aetna | Medicare | $202.65 | ↓ -68% |
| Cigna | Medicare | $204.01 | ↓ -67% |
| Geisinger | Medicare | $204.01 | ↓ -67% |
| United Healthcare | Medicare | $207.90 | ↓ -67% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $209.84 | ↓ -67% |
| Prime Net | Managed Medicare | $252.89 | ↓ -60% |
| Keystone Autism Services | ACAP | $310.88 | ↓ -50% |
| Cigna | Commercial | $387.00 | ↓ -38% |
| UPMC Health Plan | CHIP | $527.58 | ↓ -16% |
| PA Health & Wellness | PA Medicaid HMO | $574.75 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $574.75 | ↓ -8% |
| Aetna | ACO | $593.56 | ↓ -5% |
| Highmark BCBS of PA | Medicaid | $644.57 | ↑ +3% |
| Geisinger | Commercial | $684.27 | ↑ +9% |
| Highmark BCBS of PA | Commercial | $691.13 | ↑ +10% |
| Capital Blue Cross | CHIP | $710.18 | ↑ +13% |
| Keystone Health Plan | Commercial | $710.18 | ↑ +13% |
| Capital Blue Cross | Commercial | $710.18 | ↑ +13% |
| UPMC Health Plan | Commercial | $731.50 | ↑ +17% |
| Aetna | Commercial | $760.76 | ↑ +21% |
| CareFirst | Commercial | $888.25 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $888.25 | ↑ +42% |
| Wellspan Population Health | Commercial | $909.15 | ↑ +45% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Initiation & management bipap/cpap initial day at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $690.60 | $167.27 – $920.80 |
| UPMC Bedford | Everett | $519.60 | $69.96 – $779.40 |
| UPMC Carlisle | Carlisle | $627.00 | $44.88 – $888.25 |
| UPMC Cole | Coudersport | $393.60 | $39.06 – $524.80 |
| UPMC Community Osteopathic | Harrisburg | $627.00 | $44.88 – $888.25 |
| UPMC East | Monroeville | $866.40 | $138.25 – $1,155.20 |
| UPMC Hamot | Erie | $1,571.40 | $95.56 – $273.12 |
| UPMC Northwest | Seneca | $428.40 | $161.96 – $209.42 |