Inj. herceptin hylecta, 10mg at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$561.00
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.
$935.00
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.
$60.83 with Highmark BCBS of PA vs $813.45 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 | $60.83 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $61.44 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $61.44 | ↓ -89% |
| Humana | Medicare | $61.44 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $61.44 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $62.66 | ↓ -89% |
| Aetna | Medicare | $64.08 | ↓ -89% |
| Cigna | Medicare | $64.51 | ↓ -89% |
| Geisinger | Medicare | $64.51 | ↓ -89% |
| United Healthcare | Medicare | $65.74 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $66.36 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $67.58 | ↓ -88% |
| UPMC Health Plan | CHIP | $75.57 | ↓ -87% |
| Cigna | Commercial | $93.09 | ↓ -83% |
| Keystone Autism Services | ACAP | $98.30 | ↓ -82% |
| Keystone Health Plan | Medicare Advantage | $177.65 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $177.65 | ↓ -68% |
| Highmark BCBS of PA | Medicaid | $203.82 | ↓ -64% |
| Highmark BCBS of PA | Commercial | $218.54 | ↓ -61% |
| Prime Net | Managed Medicare | $226.27 | ↓ -60% |
| United Healthcare | Commercial | $463.62 | ↓ -17% |
| UPMC Work Partners | Workers Comp | $464.98 | ↓ -17% |
| Aetna | ACO | $561.93 | ↑ +0% |
| Geisinger | Commercial | $612.24 | ↑ +9% |
| Capital Blue Cross | CHIP | $635.43 | ↑ +13% |
| Capital Blue Cross | Commercial | $635.43 | ↑ +13% |
| Keystone Health Plan | Commercial | $635.43 | ↑ +13% |
| UPMC Health Plan | Commercial | $654.50 | ↑ +17% |
| Aetna | Commercial | $719.95 | ↑ +28% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $794.75 | ↑ +42% |
| CareFirst | Commercial | $794.75 | ↑ +42% |
| Wellspan Population Health | Commercial | $813.45 | ↑ +45% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj. herceptin hylecta, 10mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $561.00 | $60.83 – $794.75 |
| UPMC Cole | Coudersport | $2,328.00 | $61.44 – $3,104.00 |
| UPMC Community Osteopathic | Harrisburg | $561.00 | $60.83 – $794.75 |
| UPMC Lititz | Lititz | $561.00 | $60.83 – $98.30 |
| UPMC Magee | Pittsburgh | $433.20 | $38.79 – $66.36 |
| UPMC Memorial | York | $561.00 | $40.53 – $98.30 |
| UPMC Somerset | Somerset | $561.00 | $49.22 – $61.44 |
| UPMC Williamsport | Williamsport | $413.40 | $61.44 – $65.74 |