Lung function test (mbc/mvv) at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$145.20
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.
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What you pay up front if you don't use insurance.
$242.00
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.
$7.07 with United Healthcare Community Plan for Families vs $613.00 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $7.07 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.43 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.43 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $11.70 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $12.26 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $13.11 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $15.34 | ↓ -89% |
| Capital Blue Cross | Medicare Advantage | $45.98 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $45.98 | ↓ -68% |
| Highmark BCBS of PA | Medicare | $56.17 | ↓ -61% |
| Humana | Medicare | $56.74 | ↓ -61% |
| Prime Net | Managed Medicare | $58.56 | ↓ -60% |
| Aetna | Medicare | $59.18 | ↓ -59% |
| Cigna | Medicare | $59.58 | ↓ -59% |
| Geisinger | Medicare | $59.58 | ↓ -59% |
| United Healthcare | Medicare | $60.71 | ↓ -58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $61.28 | ↓ -58% |
| UPMC Health Plan | CHIP | $65.46 | ↓ -55% |
| UPMC Work Partners | Workers Comp | $70.60 | ↓ -51% |
| Keystone Autism Services | ACAP | $90.78 | ↓ -37% |
| Aetna | ACO | $137.46 | ↓ -5% |
| Geisinger | Commercial | $158.46 | ↑ +9% |
| Keystone Health Plan | Commercial | $164.46 | ↑ +13% |
| Capital Blue Cross | Commercial | $164.46 | ↑ +13% |
| Capital Blue Cross | CHIP | $164.46 | ↑ +13% |
| UPMC Health Plan | Commercial | $169.40 | ↑ +17% |
| Aetna | Commercial | $176.18 | ↑ +21% |
| Highmark BCBS of PA | Medicaid | $188.23 | ↑ +30% |
| Cigna | Commercial | $188.76 | ↑ +30% |
| Highmark BCBS of PA | Commercial | $201.82 | ↑ +39% |
| CareFirst | Commercial | $205.70 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $205.70 | ↑ +42% |
| Wellspan Population Health | Commercial | $210.54 | ↑ +45% |
| United Healthcare | Commercial | $613.00 | ↑ +322% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Lung function test (mbc/mvv) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $163.80 | $5.40 – $218.40 |
| UPMC Community Osteopathic | Harrisburg | $155.40 | $6.20 – $70.60 |
| UPMC East | Monroeville | $109.20 | $9.90 – $145.60 |
| UPMC Hamot | Erie | $99.00 | $9.90 – $81.67 |
| UPMC Northwest | Seneca | $115.80 | $9.90 – $67.46 |
| UPMC Horizon-Greenville | Greenville | $102.60 | $9.90 – $67.46 |
| UPMC Jameson | New Castle | $100.20 | $6.21 – $70.79 |
| UPMC Magee | Pittsburgh | $86.40 | $9.90 – $67.73 |