Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$396.60
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.
$661.00
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.
$39.45 with Highmark Wholecare (prev Gateway) vs $1,003.07 with Highmark BCBS of PA — 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 Wholecare (prev Gateway) | Medicaid | $39.45 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $39.45 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $40.38 | ↓ -90% |
| United Healthcare Community Plan for Families | PA Medicaid | $40.69 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $42.30 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $45.24 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $52.93 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $121.59 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $125.59 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $125.59 | ↓ -68% |
| Prime Net | Managed Medicare | $159.96 | ↓ -60% |
| UPMC Health Plan | CHIP | $220.02 | ↓ -45% |
| Highmark BCBS of PA | Medicare | $279.18 | ↓ -30% |
| Humana | Medicare | $282.00 | ↓ -29% |
| Aetna | Medicare | $294.13 | ↓ -26% |
| Cigna | Medicare | $296.10 | ↓ -25% |
| Geisinger | Medicare | $296.10 | ↓ -25% |
| United Healthcare | Medicare | $301.74 | ↓ -24% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $304.56 | ↓ -23% |
| Aetna | ACO | $375.45 | ↓ -5% |
| Geisinger | Commercial | $432.82 | ↑ +9% |
| Keystone Health Plan | Commercial | $449.22 | ↑ +13% |
| Capital Blue Cross | Commercial | $449.22 | ↑ +13% |
| Capital Blue Cross | CHIP | $449.22 | ↑ +13% |
| Keystone Autism Services | ACAP | $451.20 | ↑ +14% |
| UPMC Health Plan | Commercial | $462.70 | ↑ +17% |
| Aetna | Commercial | $481.21 | ↑ +21% |
| Cigna | Commercial | $515.58 | ↑ +30% |
| CareFirst | Commercial | $561.85 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $561.85 | ↑ +42% |
| Wellspan Population Health | Commercial | $575.07 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $935.51 | ↑ +136% |
| Highmark BCBS of PA | Commercial | $1,003.07 | ↑ +153% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $454.20 | $31.06 – $605.60 |
| UPMC Bedford | Everett | $402.00 | $32.61 – $603.00 |
| UPMC Carlisle | Carlisle | $396.60 | $39.45 – $561.85 |
| UPMC Cole | Coudersport | $183.00 | $11.64 – $116.19 |
| UPMC Community Osteopathic | Harrisburg | $396.60 | $39.45 – $561.85 |
| UPMC East | Monroeville | $401.40 | $34.17 – $535.20 |
| UPMC Hamot | Erie | $532.80 | $34.17 – $409.31 |
| UPMC Northwest | Seneca | $571.20 | $34.17 – $295.50 |