Laps surg prst8ect smpl stot at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
not published by hospital
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.
not published by hospital
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.
$1,067.75 with United Healthcare Community Plan for Families vs $35,377.35 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $1,067.75 | — |
| UPMC Work Partners | Workers Comp | $1,095.93 | — |
| Cigna | Commercial | $9,539.00 | — |
| Highmark BCBS of PA | Medicare | $9,846.38 | — |
| Humana | Medicare | $9,945.84 | — |
| Aetna | Medicare | $10,373.51 | — |
| Cigna | Medicare | $10,443.13 | — |
| Geisinger | Medicare | $10,443.13 | — |
| United Healthcare | Medicare | $10,642.05 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $10,741.51 | — |
| Keystone Autism Services | ACAP | $15,913.34 | — |
| Highmark BCBS of PA | Medicaid | $32,994.33 | — |
| Highmark BCBS of PA | Commercial | $35,377.35 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Aetna | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| Aetna | ACO | not published by hospital | — |
Visitor-reported prices
Comments
Laps surg prst8ect smpl stot at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | not published | $1,067.75 – $23,763.60 |
| UPMC Hamot | Erie | not published | $406.09 – $14,436.44 |
| UPMC Mercy | Pittsburgh | not published | $406.09 – $10,918.43 |