IV infusion therapy/prophylaxis/diagnosis each additional 1 hour at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$265.20
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.
$442.00
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.
$15.61 with Highmark Wholecare (prev Gateway) vs $399.00 with United Healthcare — 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $15.61 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.61 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $15.98 | ↓ -94% |
| United Healthcare Community Plan for Families | PA Medicaid | $16.10 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $16.74 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $17.90 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $20.94 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $34.48 | ↓ -87% |
| Highmark BCBS of PA | Medicare | $43.64 | ↓ -84% |
| Humana | Medicare | $44.08 | ↓ -83% |
| Aetna | Medicare | $45.98 | ↓ -83% |
| Cigna | Medicare | $46.28 | ↓ -83% |
| Geisinger | Medicare | $46.28 | ↓ -83% |
| United Healthcare | Medicare | $47.17 | ↓ -82% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $47.61 | ↓ -82% |
| Keystone Autism Services | ACAP | $70.53 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $83.98 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $83.98 | ↓ -68% |
| Prime Net | Managed Medicare | $106.96 | ↓ -60% |
| UPMC Health Plan | CHIP | $135.74 | ↓ -49% |
| Highmark BCBS of PA | Medicaid | $146.23 | ↓ -45% |
| Highmark BCBS of PA | Commercial | $156.79 | ↓ -41% |
| Aetna | ACO | $251.06 | ↓ -5% |
| Geisinger | Commercial | $289.42 | ↑ +9% |
| Keystone Health Plan | Commercial | $300.38 | ↑ +13% |
| Capital Blue Cross | Commercial | $300.38 | ↑ +13% |
| Capital Blue Cross | CHIP | $300.38 | ↑ +13% |
| UPMC Health Plan | Commercial | $309.40 | ↑ +17% |
| Aetna | Commercial | $321.78 | ↑ +21% |
| Cigna | Commercial | $344.76 | ↑ +30% |
| CareFirst | Commercial | $375.70 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $375.70 | ↑ +42% |
| Wellspan Population Health | Commercial | $384.54 | ↑ +45% |
| United Healthcare | Commercial | $399.00 | ↑ +50% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $220.80 | $12.29 – $294.40 |
| UPMC Bedford | Everett | $100.20 | $12.90 – $150.30 |
| UPMC Carlisle | Carlisle | $265.20 | $15.61 – $375.70 |
| UPMC Cole | Coudersport | $140.40 | $12.90 – $65.52 |
| UPMC Community Osteopathic | Harrisburg | $397.80 | $15.61 – $375.70 |
| UPMC East | Monroeville | $251.40 | $13.52 – $335.20 |
| UPMC Hamot | Erie | $234.60 | $13.52 – $54.83 |
| UPMC Northwest | Seneca | $138.00 | $13.52 – $46.19 |