Irrigation implantable venous access device for drug delivery systems at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$136.80
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.
$228.00
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.
$24.74 with Highmark Wholecare (prev Gateway) vs $399.00 with United Healthcare — 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 | $24.74 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $24.74 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $25.32 | ↓ -81% |
| United Healthcare Community Plan for Families | PA Medicaid | $25.52 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $26.53 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $28.37 | ↓ -79% |
| PA Health & Wellness | PA Medicaid HMO | $33.20 | ↓ -76% |
| Capital Blue Cross | Medicare Advantage | $43.32 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $43.32 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $44.63 | ↓ -67% |
| Prime Net | Managed Medicare | $55.18 | ↓ -60% |
| Highmark BCBS of PA | Medicare | $56.17 | ↓ -59% |
| Humana | Medicare | $56.74 | ↓ -59% |
| Aetna | Medicare | $59.18 | ↓ -57% |
| Geisinger | Medicare | $59.58 | ↓ -56% |
| Cigna | Medicare | $59.58 | ↓ -56% |
| United Healthcare | Medicare | $60.71 | ↓ -56% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $61.28 | ↓ -55% |
| UPMC Health Plan | CHIP | $85.57 | ↓ -37% |
| Keystone Autism Services | ACAP | $90.78 | ↓ -34% |
| Aetna | ACO | $129.50 | ↓ -5% |
| Geisinger | Commercial | $149.29 | ↑ +9% |
| Keystone Health Plan | Commercial | $154.95 | ↑ +13% |
| Capital Blue Cross | CHIP | $154.95 | ↑ +13% |
| Capital Blue Cross | Commercial | $154.95 | ↑ +13% |
| UPMC Health Plan | Commercial | $159.60 | ↑ +17% |
| Aetna | Commercial | $165.98 | ↑ +21% |
| Cigna | Commercial | $177.84 | ↑ +30% |
| Highmark BCBS of PA | Medicaid | $188.23 | ↑ +38% |
| CareFirst | Commercial | $193.80 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $193.80 | ↑ +42% |
| Wellspan Population Health | Commercial | $198.36 | ↑ +45% |
| Highmark BCBS of PA | Commercial | $201.82 | ↑ +48% |
| United Healthcare | Commercial | $399.00 | ↑ +192% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Irrigation implantable venous access device for drug delivery systems at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $166.80 | $19.48 – $222.40 |
| UPMC Bedford | Everett | $149.40 | $20.43 – $224.10 |
| UPMC Carlisle | Carlisle | $136.80 | $24.74 – $193.80 |
| UPMC Cole | Coudersport | $112.20 | $15.25 – $46.20 |
| UPMC Community Osteopathic | Harrisburg | $136.80 | $24.74 – $193.80 |
| UPMC East | Monroeville | $269.40 | $21.43 – $359.20 |
| UPMC Hamot | Erie | $158.40 | $21.43 – $81.67 |
| UPMC Northwest | Seneca | $147.60 | $21.43 – $59.46 |