Insert tunneled cv cath at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$8,004.00
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.
$13,340.00
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.
$426.05 with AmeriHealth Caritas vs $18,368.60 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $426.05 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $426.05 | ↓ -95% |
| UPMC Health Plan | CHIP | $433.44 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $436.11 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $456.91 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $488.65 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $571.71 | ↓ -93% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -87% |
| Keystone Health Plan | Medicare Advantage | $2,534.60 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $2,534.60 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $3,124.26 | ↓ -61% |
| Prime Net | Managed Medicare | $3,228.28 | ↓ -60% |
| Highmark BCBS of PA | Medicare | $5,112.43 | ↓ -36% |
| Humana | Medicare | $5,164.07 | ↓ -35% |
| Aetna | Medicare | $5,386.13 | ↓ -33% |
| Geisinger | Medicare | $5,422.27 | ↓ -32% |
| Cigna | Medicare | $5,422.27 | ↓ -32% |
| United Healthcare | Medicare | $5,525.55 | ↓ -31% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,577.20 | ↓ -30% |
| Cigna | Commercial | $6,413.00 | ↓ -20% |
| Aetna | ACO | $7,577.12 | ↓ -5% |
| Keystone Autism Services | ACAP | $8,262.51 | ↑ +3% |
| Geisinger | Commercial | $8,735.03 | ↑ +9% |
| Capital Blue Cross | Commercial | $9,065.86 | ↑ +13% |
| Keystone Health Plan | Commercial | $9,065.86 | ↑ +13% |
| Capital Blue Cross | CHIP | $9,065.86 | ↑ +13% |
| UPMC Health Plan | Commercial | $9,338.00 | ↑ +17% |
| Aetna | Commercial | $9,711.52 | ↑ +21% |
| CareFirst | Commercial | $11,339.00 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $11,339.00 | ↑ +42% |
| Wellspan Population Health | Commercial | $11,605.80 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $17,131.29 | ↑ +114% |
| Highmark BCBS of PA | Commercial | $18,368.60 | ↑ +129% |
| 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
Insert tunneled cv cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $8,004.00 | $426.05 – $11,339.00 |
| UPMC Community Osteopathic | Harrisburg | $8,004.00 | $426.05 – $11,339.00 |
| UPMC Lititz | Lititz | $8,004.00 | $426.05 – $8,307.14 |
| UPMC Memorial | York | $8,004.00 | $426.05 – $8,293.65 |
| UPMC Somerset | Somerset | $8,004.00 | $369.02 – $5,153.69 |
| Uniontown Hospital | Uniontown | $4,687.50 | $205.80 – $11,202.11 |
| UPMC Altoona | Altoona | not published | $335.47 – $5,565.99 |
| UPMC Hamot | Erie | not published | $369.02 – $7,495.67 |