Inj cefazolin (wg crit care) at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$3.00
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.
$5.00
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.
$0.76 with Capital Blue Cross vs $3.48 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $0.76 | ↓ -75% |
| Keystone Health Plan | Medicare Advantage | $0.76 | ↓ -75% |
| Highmark BCBS of PA | Medicare | $0.94 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $0.95 | ↓ -68% |
| Humana | Medicare | $0.95 | ↓ -68% |
| PA Health & Wellness | PA Medicaid HMO | $0.95 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.95 | ↓ -68% |
| Prime Net | Managed Medicare | $0.97 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.97 | ↓ -68% |
| Aetna | Medicare | $0.99 | ↓ -67% |
| Cigna | Medicare | $1.00 | ↓ -67% |
| Geisinger | Medicare | $1.00 | ↓ -67% |
| United Healthcare | Medicare | $1.02 | ↓ -66% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1.03 | ↓ -66% |
| UPMC Health Plan | Managed Medicaid | $1.04 | ↓ -65% |
| UPMC Health Plan | CHIP | $1.17 | ↓ -61% |
| Keystone Autism Services | ACAP | $1.52 | ↓ -49% |
| UPMC Work Partners | Workers Comp | $1.99 | ↓ -34% |
| Aetna | ACO | $2.27 | ↓ -24% |
| United Healthcare | Commercial | $2.46 | ↓ -18% |
| Geisinger | Commercial | $2.62 | ↓ -13% |
| Capital Blue Cross | Commercial | $2.72 | ↓ -9% |
| Capital Blue Cross | CHIP | $2.72 | ↓ -9% |
| Keystone Health Plan | Commercial | $2.72 | ↓ -9% |
| UPMC Health Plan | Commercial | $2.80 | ↓ -7% |
| Aetna | Commercial | $2.91 | ↓ -3% |
| Cigna | Commercial | $3.12 | ↑ +4% |
| Highmark BCBS of PA | Medicaid | $3.15 | ↑ +5% |
| Highmark BCBS of PA | Commercial | $3.38 | ↑ +13% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3.40 | ↑ +13% |
| CareFirst | Commercial | $3.40 | ↑ +13% |
| Wellspan Population Health | Commercial | $3.48 | ↑ +16% |
Visitor-reported prices
Comments
Inj cefazolin (wg crit care) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3.00 | $0.55 – $3.40 |
| UPMC Community Osteopathic | Harrisburg | $3.00 | $0.74 – $3.40 |
| UPMC Lititz | Lititz | $3.00 | $0.94 – $1.52 |
| UPMC Memorial | York | $3.00 | $0.36 – $1.52 |
| UPMC Somerset | Somerset | $3.00 | $0.44 – $0.95 |
| WellSpan Chambersburg Hospital | Chambersburg | $19.00 | $1.03 – $25.31 |
| Uniontown Hospital | Uniontown | $9.31 | $1.45 – $1.45 |
| WellSpan Good Samaritan Hospital | Lebanon | $76.80 | $1.03 – $20.37 |