Insertion subcutaneous cardiac rhythm monitor at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$17,281.80
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.
$28,803.00
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.
$1,016.56 with United Healthcare Community Plan for Families vs $28,121.78 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -94% |
| Keystone Health Plan | Medicare Advantage | $5,472.57 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $5,472.57 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $6,252.76 | ↓ -64% |
| Prime Net | Managed Medicare | $6,970.33 | ↓ -60% |
| UPMC Health Plan | CHIP | $7,073.42 | ↓ -59% |
| Highmark BCBS of PA | Medicare | $7,826.98 | ↓ -55% |
| Humana | Medicare | $7,906.04 | ↓ -54% |
| Aetna | Medicare | $8,246.00 | ↓ -52% |
| Geisinger | Medicare | $8,301.34 | ↓ -52% |
| Cigna | Medicare | $8,301.34 | ↓ -52% |
| United Healthcare | Medicare | $8,459.46 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $8,538.52 | ↓ -51% |
| Keystone Autism Services | ACAP | $12,649.66 | ↓ -27% |
| Geisinger | Medicaid/CHIP | $15,841.65 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $15,841.65 | ↓ -8% |
| Aetna | ACO | $16,360.10 | ↓ -5% |
| Cigna | Commercial | $17,298.00 | ↑ +0% |
| Geisinger | Commercial | $18,860.20 | ↑ +9% |
| Capital Blue Cross | Commercial | $19,574.52 | ↑ +13% |
| Keystone Health Plan | Commercial | $19,574.52 | ↑ +13% |
| Capital Blue Cross | CHIP | $19,574.52 | ↑ +13% |
| UPMC Health Plan | Commercial | $20,162.10 | ↑ +17% |
| Aetna | Commercial | $20,968.58 | ↑ +21% |
| CareFirst | Commercial | $24,482.55 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $24,482.55 | ↑ +42% |
| Wellspan Population Health | Commercial | $25,058.61 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $26,227.50 | ↑ +52% |
| Highmark BCBS of PA | Commercial | $28,121.78 | ↑ +63% |
| 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
Insertion subcutaneous cardiac rhythm monitor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,788.80 | $2,324.00 – $8,521.36 |
| UPMC Carlisle | Carlisle | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC Community Osteopathic | Harrisburg | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC East | Monroeville | $2,371.80 | $1,304.49 – $8,521.36 |
| UPMC Hamot | Erie | $7,465.20 | $3,012.17 – $11,475.67 |
| UPMC Jameson | New Castle | $8,109.60 | $892.40 – $10,651.70 |
| UPMC Lititz | Lititz | $17,281.80 | $1,016.56 – $12,718.00 |
| UPMC Magee | Pittsburgh | $14,247.60 | $3,040.85 – $8,679.17 |