healthcosts.net
Knee MRI (without contrast) at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$1,656.00
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.
$2,760.00
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.
$352.39 with United Healthcare Community Plan for Families vs $3,211.00 with Aetna — 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 | $352.39 | ↓ -79% |
| OneCall | Worker's Comp | $400.00 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $420.87 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $420.87 | ↓ -75% |
| Premier Comp Solutions | Worker's Comp | $425.00 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $430.81 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $451.35 | ↓ -73% |
| Geisinger | Medicaid/CHIP | $482.70 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $524.40 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $524.40 | ↓ -68% |
| PA Health & Wellness | PA Medicaid HMO | $564.75 | ↓ -66% |
| Prime Net | Managed Medicare | $667.92 | ↓ -60% |
| Aetna | Medicare | $977.04 | ↓ -41% |
| UPMC Work Partners | Workers Comp | $1,164.74 | ↓ -30% |
| Cigna | Commercial | $1,224.77 | ↓ -26% |
| UPMC Health Plan | CHIP | $1,680.39 | ↑ +1% |
| Geisinger | Commercial | $1,807.25 | ↑ +9% |
| Capital Blue Cross | CHIP | $1,875.70 | ↑ +13% |
| Capital Blue Cross | Commercial | $1,875.70 | ↑ +13% |
| Keystone Health Plan | Commercial | $1,875.70 | ↑ +13% |
| UPMC Health Plan | Commercial | $1,932.00 | ↑ +17% |
| United Healthcare | Commercial | $2,031.36 | ↑ +23% |
| CareFirst | Commercial | $2,346.00 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,346.00 | ↑ +42% |
| Wellspan Population Health | Commercial | $2,401.20 | ↑ +45% |
| Aetna | ACO | $2,504.00 | ↑ +51% |
| Aetna | Commercial | $3,211.00 | ↑ +94% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Knee MRI (without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,801.60 | $214.16 – $5,385.60 |
| UPMC East | Monroeville | $3,940.80 | $231.07 – $5,254.40 |
| UPMC Hamot | Erie | $2,045.40 | $167.99 – $2,386.30 |
| UPMC Altoona | Altoona | $1,699.20 | $400.00 – $2,265.60 |
| UPMC Carlisle | Carlisle | $1,656.00 | $352.39 – $2,346.00 |
| UPMC Bedford | Everett | $1,705.20 | $83.15 – $2,557.80 |
| UPMC Cole | Coudersport | $966.60 | $236.03 – $1,288.80 |
| UPMC Community Osteopathic | Harrisburg | $1,656.00 | $352.39 – $2,348.09 |