Ins pm gen w/exist mlt leads at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$41,511.60
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.
$69,186.00
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.
$545.16 with UPMC Work Partners vs $64,803.84 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $545.16 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -98% |
| Capital Blue Cross | Medicare Advantage | $13,145.34 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $13,145.34 | ↓ -68% |
| Prime Net | Managed Medicare | $16,743.01 | ↓ -60% |
| Highmark BCBS of PA | Medicare | $18,036.49 | ↓ -57% |
| Humana | Medicare | $18,218.68 | ↓ -56% |
| Aetna | Medicare | $19,002.08 | ↓ -54% |
| Geisinger | Medicare | $19,129.61 | ↓ -54% |
| Cigna | Medicare | $19,129.61 | ↓ -54% |
| United Healthcare | Medicare | $19,493.99 | ↓ -53% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $19,676.17 | ↓ -53% |
| Keystone Autism Services | ACAP | $29,149.89 | ↓ -30% |
| United Healthcare | Commercial | $35,907.53 | ↓ -14% |
| Geisinger | Medicaid/CHIP | $38,052.30 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $38,052.30 | ↓ -8% |
| Aetna | ACO | $39,297.65 | ↓ -5% |
| Geisinger | Commercial | $45,302.99 | ↑ +9% |
| Capital Blue Cross | Commercial | $47,018.81 | ↑ +13% |
| Keystone Health Plan | Commercial | $47,018.81 | ↑ +13% |
| Capital Blue Cross | CHIP | $47,018.81 | ↑ +13% |
| UPMC Health Plan | CHIP | $48,430.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $48,430.20 | ↑ +17% |
| Aetna | Commercial | $50,367.41 | ↑ +21% |
| Cigna | Commercial | $53,965.08 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $58,808.10 | ↑ +42% |
| CareFirst | Commercial | $58,808.10 | ↑ +42% |
| Wellspan Population Health | Commercial | $60,191.82 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $60,438.65 | ↑ +46% |
| Highmark BCBS of PA | Commercial | $64,803.84 | ↑ +56% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Ins pm gen w/exist mlt leads at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $41,511.60 | $545.16 – $58,808.10 |
| UPMC Community Osteopathic | Harrisburg | $41,511.60 | $545.16 – $58,808.10 |
| UPMC Hamot | Erie | $2,586.00 | $450.02 – $26,444.52 |
| UPMC Lititz | Lititz | $41,511.60 | $545.16 – $29,307.34 |
| UPMC Memorial | York | $41,511.60 | $366.78 – $29,259.74 |
| UPMC Presbyterian | Pittsburgh | $40,853.40 | $454.30 – $20,000.27 |
| UPMC Somerset | Somerset | $41,511.60 | $445.46 – $19,634.81 |
| UPMC Williamsport | Williamsport | $3,785.40 | $520.93 – $19,636.62 |