Lymphocytotoxicity assay at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$1,055.40
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.
$1,759.00
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.
$22.96 with United Healthcare vs $1,530.33 with Wellspan Population Health — 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 | Commercial | $22.96 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $44.07 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $55.97 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $57.29 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $57.73 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $60.02 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $64.19 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $75.10 | ↓ -93% |
| Highmark BCBS of PA | Medicare | $187.61 | ↓ -82% |
| Aetna | ACO | $189.51 | ↓ -82% |
| Aetna | Commercial | $189.51 | ↓ -82% |
| Humana | Medicare | $189.51 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $196.01 | ↓ -81% |
| Aetna | Medicare | $197.66 | ↓ -81% |
| Geisinger | Medicare | $198.99 | ↓ -81% |
| Cigna | Medicare | $198.99 | ↓ -81% |
| United Healthcare | Medicare | $202.78 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $204.67 | ↓ -81% |
| UPMC Health Plan | CHIP | $253.96 | ↓ -76% |
| Keystone Autism Services | ACAP | $303.22 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $334.21 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $334.21 | ↓ -68% |
| Prime Net | Managed Medicare | $425.68 | ↓ -60% |
| Cigna | Commercial | $492.72 | ↓ -53% |
| Highmark BCBS of PA | Medicaid | $628.68 | ↓ -40% |
| Highmark BCBS of PA | Commercial | $674.09 | ↓ -36% |
| Geisinger | Commercial | $1,151.79 | ↑ +9% |
| Capital Blue Cross | Commercial | $1,195.42 | ↑ +13% |
| Keystone Health Plan | Commercial | $1,195.42 | ↑ +13% |
| Capital Blue Cross | CHIP | $1,195.42 | ↑ +13% |
| UPMC Health Plan | Commercial | $1,231.30 | ↑ +17% |
| CareFirst | Commercial | $1,495.15 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,495.15 | ↑ +42% |
| Wellspan Population Health | Commercial | $1,530.33 | ↑ +45% |
Visitor-reported prices
Comments
Lymphocytotoxicity assay at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,055.40 | $22.96 – $1,495.15 |
| UPMC Community Osteopathic | Harrisburg | $1,055.40 | $44.07 – $1,495.15 |
| UPMC Lititz | Lititz | $1,055.40 | $22.96 – $303.22 |
| UPMC Magee | Pittsburgh | $292.80 | $48.48 – $204.67 |
| UPMC Memorial | York | $1,055.40 | $22.96 – $303.22 |
| UPMC Mercy | Pittsburgh | $325.20 | $48.48 – $208.46 |
| UPMC Presbyterian | Pittsburgh | $1,263.00 | $44.07 – $217.79 |
| UPMC Somerset | Somerset | $1,055.40 | $48.48 – $189.51 |