Intro long gi tube at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$1,788.00
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.
$2,980.00
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.
$24.98 with Highmark Wholecare (prev Gateway) vs $3,185.83 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 | $24.98 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $24.98 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $25.57 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $25.77 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $26.79 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $28.65 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $33.52 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $57.57 | ↓ -97% |
| UPMC Health Plan | CHIP | $183.57 | ↓ -90% |
| Capital Blue Cross | Medicare Advantage | $566.20 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $566.20 | ↓ -68% |
| Prime Net | Managed Medicare | $721.16 | ↓ -60% |
| Highmark BCBS of PA | Medicare | $886.69 | ↓ -50% |
| Humana | Medicare | $895.65 | ↓ -50% |
| Aetna | Medicare | $934.16 | ↓ -48% |
| Geisinger | Medicare | $940.43 | ↓ -47% |
| Cigna | Medicare | $940.43 | ↓ -47% |
| United Healthcare | Medicare | $958.35 | ↓ -46% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $967.30 | ↓ -46% |
| Keystone Autism Services | ACAP | $1,433.04 | ↓ -20% |
| United Healthcare | Commercial | $1,546.62 | ↓ -14% |
| Aetna | ACO | $1,692.64 | ↓ -5% |
| Geisinger | Commercial | $1,951.30 | ↑ +9% |
| Keystone Health Plan | Commercial | $2,025.21 | ↑ +13% |
| Capital Blue Cross | CHIP | $2,025.21 | ↑ +13% |
| Capital Blue Cross | Commercial | $2,025.21 | ↑ +13% |
| UPMC Health Plan | Commercial | $2,086.00 | ↑ +17% |
| Aetna | Commercial | $2,169.44 | ↑ +21% |
| Cigna | Commercial | $2,324.40 | ↑ +30% |
| CareFirst | Commercial | $2,533.00 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,533.00 | ↑ +42% |
| Wellspan Population Health | Commercial | $2,592.60 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $2,971.23 | ↑ +66% |
| Highmark BCBS of PA | Commercial | $3,185.83 | ↑ +78% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Intro long gi tube at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,869.00 | $19.67 – $2,492.00 |
| UPMC Carlisle | Carlisle | $1,788.00 | $24.98 – $2,533.00 |
| UPMC Community Osteopathic | Harrisburg | $1,788.00 | $24.98 – $2,533.00 |
| UPMC East | Monroeville | $235.20 | $21.64 – $938.54 |
| UPMC Hamot | Erie | $661.20 | $21.64 – $1,300.05 |
| UPMC Horizon-Greenville | Greenville | $571.80 | $21.64 – $965.36 |
| UPMC Jameson | New Castle | $864.60 | $21.64 – $1,206.70 |
| UPMC Lititz | Lititz | $1,788.00 | $24.98 – $1,440.78 |