Lymphocyte transformation mitogen at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$272.40
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.
$454.00
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.
$48.54 with Highmark BCBS of PA vs $396.98 with UPMC Health Plan — 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 BCBS of PA | Medicare | $48.54 | ↓ -82% |
| Humana | Medicare | $49.03 | ↓ -82% |
| Aetna | Commercial | $49.03 | ↓ -82% |
| Aetna | ACO | $49.03 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $50.71 | ↓ -81% |
| Aetna | Medicare | $51.14 | ↓ -81% |
| Geisinger | Medicare | $51.48 | ↓ -81% |
| Cigna | Medicare | $51.48 | ↓ -81% |
| United Healthcare | Medicare | $52.46 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $52.95 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $67.75 | ↓ -75% |
| Keystone Autism Services | ACAP | $78.45 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $86.04 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $86.26 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $86.26 | ↓ -68% |
| UPMC Health Plan | Managed Medicaid | $88.08 | ↓ -68% |
| United Healthcare Community Plan for Families | PA Medicaid | $88.75 | ↓ -67% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $92.28 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $98.68 | ↓ -64% |
| Prime Net | Managed Medicare | $109.87 | ↓ -60% |
| PA Health & Wellness | PA Medicaid HMO | $115.46 | ↓ -58% |
| Cigna | Commercial | $127.48 | ↓ -53% |
| Highmark BCBS of PA | Medicaid | $162.65 | ↓ -40% |
| Highmark BCBS of PA | Commercial | $174.40 | ↓ -36% |
| United Healthcare | Commercial | $201.28 | ↓ -26% |
| Geisinger | Commercial | $297.28 | ↑ +9% |
| Capital Blue Cross | Commercial | $308.54 | ↑ +13% |
| Keystone Health Plan | Commercial | $308.54 | ↑ +13% |
| Capital Blue Cross | CHIP | $308.54 | ↑ +13% |
| UPMC Health Plan | Commercial | $317.80 | ↑ +17% |
| CareFirst | Commercial | $385.90 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $385.90 | ↑ +42% |
| Wellspan Population Health | Commercial | $394.98 | ↑ +45% |
| UPMC Health Plan | CHIP | $396.98 | ↑ +46% |
Visitor-reported prices
Comments
Lymphocyte transformation mitogen at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $630.00 | $48.45 – $800.00 |
| UPMC Bedford | Everett | $816.60 | $17.69 – $1,224.90 |
| UPMC Carlisle | Carlisle | $272.40 | $48.54 – $385.90 |
| UPMC Community Osteopathic | Harrisburg | $272.40 | $48.54 – $396.98 |
| UPMC East | Monroeville | $453.00 | $48.45 – $604.00 |
| UPMC Hamot | Erie | $499.20 | $48.45 – $133.24 |
| UPMC Northwest | Seneca | $453.00 | $44.47 – $77.91 |
| UPMC Horizon-Greenville | Greenville | $299.40 | $43.90 – $94.17 |