Mayo organic acid methylmalonic single quantitative at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$107.40
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.
$179.00
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.
$18.20 with AmeriHealth Caritas vs $155.73 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $18.20 | ↓ -83% |
| Highmark BCBS of PA | Medicare | $21.00 | ↓ -80% |
| Aetna | Commercial | $21.21 | ↓ -80% |
| Aetna | ACO | $21.21 | ↓ -80% |
| Humana | Medicare | $21.21 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $21.94 | ↓ -80% |
| Aetna | Medicare | $22.12 | ↓ -79% |
| Cigna | Medicare | $22.27 | ↓ -79% |
| Geisinger | Medicare | $22.27 | ↓ -79% |
| United Healthcare | Medicare | $22.69 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $22.91 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $23.11 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $23.66 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $23.84 | ↓ -78% |
| United Healthcare | Commercial | $24.37 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $24.79 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $26.51 | ↓ -75% |
| PA Health & Wellness | PA Medicaid HMO | $31.02 | ↓ -71% |
| Keystone Autism Services | ACAP | $33.94 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $34.01 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $34.01 | ↓ -68% |
| Prime Net | Managed Medicare | $43.32 | ↓ -60% |
| Cigna | Commercial | $55.16 | ↓ -49% |
| Highmark BCBS of PA | Medicaid | $70.36 | ↓ -34% |
| Highmark BCBS of PA | Commercial | $75.44 | ↓ -30% |
| UPMC Health Plan | CHIP | $95.20 | ↓ -11% |
| Geisinger | Commercial | $117.21 | ↑ +9% |
| Keystone Health Plan | Commercial | $121.65 | ↑ +13% |
| Capital Blue Cross | Commercial | $121.65 | ↑ +13% |
| Capital Blue Cross | CHIP | $121.65 | ↑ +13% |
| UPMC Health Plan | Commercial | $125.30 | ↑ +17% |
| CareFirst | Commercial | $152.15 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $152.15 | ↑ +42% |
| Wellspan Population Health | Commercial | $155.73 | ↑ +45% |
Visitor-reported prices
Comments
Mayo organic acid methylmalonic single quantitative at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $178.80 | $18.20 – $238.40 |
| UPMC Bedford | Everett | $118.20 | $7.65 – $177.30 |
| UPMC Carlisle | Carlisle | $107.40 | $18.20 – $152.15 |
| UPMC Cole | Coudersport | $204.00 | $13.79 – $272.00 |
| UPMC Community Osteopathic | Harrisburg | $107.40 | $18.20 – $152.15 |
| UPMC East | Monroeville | $269.40 | $18.20 – $359.20 |
| UPMC Hamot | Erie | $204.60 | $18.20 – $43.70 |
| UPMC Northwest | Seneca | $108.00 | $19.24 – $22.91 |