Mayo nickel at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$89.40
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.
?
What you pay up front if you don't use insurance.
$149.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$11.00 with AmeriHealth Caritas vs $141.46 with UPMC Health Plan — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.00 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $13.97 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $14.30 | ↓ -84% |
| United Healthcare Community Plan for Families | PA Medicaid | $14.41 | ↓ -84% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $14.98 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $16.02 | ↓ -82% |
| PA Health & Wellness | PA Medicaid HMO | $18.75 | ↓ -79% |
| Highmark BCBS of PA | Medicare | $24.26 | ↓ -73% |
| Aetna | ACO | $24.51 | ↓ -73% |
| Humana | Medicare | $24.51 | ↓ -73% |
| Aetna | Commercial | $24.51 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $25.35 | ↓ -72% |
| Aetna | Medicare | $25.56 | ↓ -71% |
| Geisinger | Medicare | $25.74 | ↓ -71% |
| Cigna | Medicare | $25.74 | ↓ -71% |
| United Healthcare | Medicare | $26.23 | ↓ -71% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $26.47 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $28.31 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $28.31 | ↓ -68% |
| Prime Net | Managed Medicare | $36.06 | ↓ -60% |
| Keystone Autism Services | ACAP | $39.22 | ↓ -56% |
| Cigna | Commercial | $63.72 | ↓ -29% |
| Highmark BCBS of PA | Medicaid | $81.31 | ↓ -9% |
| Highmark BCBS of PA | Commercial | $87.18 | ↓ -2% |
| Geisinger | Commercial | $97.57 | ↑ +9% |
| Capital Blue Cross | CHIP | $101.26 | ↑ +13% |
| Capital Blue Cross | Commercial | $101.26 | ↑ +13% |
| Keystone Health Plan | Commercial | $101.26 | ↑ +13% |
| UPMC Health Plan | Commercial | $104.30 | ↑ +17% |
| CareFirst | Commercial | $126.65 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $126.65 | ↑ +42% |
| Wellspan Population Health | Commercial | $129.63 | ↑ +45% |
| UPMC Health Plan | CHIP | $141.46 | ↑ +58% |
Visitor-reported prices
Comments
Mayo nickel at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $253.20 | $11.00 – $337.60 |
| UPMC Bedford | Everett | $321.00 | $8.84 – $481.50 |
| UPMC Carlisle | Carlisle | $89.40 | $11.00 – $126.65 |
| UPMC Community Osteopathic | Harrisburg | $89.40 | $11.00 – $141.46 |
| UPMC Northwest | Seneca | $175.20 | $12.10 – $25.74 |
| UPMC Horizon-Greenville | Greenville | $179.40 | $11.00 – $45.99 |
| UPMC Jameson | New Castle | $179.40 | $12.10 – $52.11 |
| UPMC Kane | Kane | $146.40 | $12.10 – $105.79 |