Muscle test larynx at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$222.60
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.
$371.00
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.
$23.40 with United Healthcare Community Plan for Families vs $478.30 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $23.40 | ↓ -89% |
| Keystone Health Plan | Medicare Advantage | $70.49 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $70.49 | ↓ -68% |
| Prime Net | Managed Medicare | $89.78 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicaid | $105.52 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $105.52 | ↓ -53% |
| UPMC Health Plan | Managed Medicaid | $108.02 | ↓ -51% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $113.17 | ↓ -49% |
| Geisinger | Medicaid/CHIP | $121.03 | ↓ -46% |
| Highmark BCBS of PA | Medicare | $121.91 | ↓ -45% |
| Humana | Medicare | $123.14 | ↓ -45% |
| Aetna | Medicare | $128.44 | ↓ -42% |
| Geisinger | Medicare | $129.30 | ↓ -42% |
| Cigna | Medicare | $129.30 | ↓ -42% |
| United Healthcare | Medicare | $131.76 | ↓ -41% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $132.99 | ↓ -40% |
| PA Health & Wellness | PA Medicaid HMO | $141.60 | ↓ -36% |
| Keystone Autism Services | ACAP | $197.02 | ↓ -11% |
| UPMC Work Partners | Workers Comp | $197.46 | ↓ -11% |
| Aetna | ACO | $210.73 | ↓ -5% |
| Geisinger | Commercial | $242.93 | ↑ +9% |
| Capital Blue Cross | CHIP | $252.13 | ↑ +13% |
| Keystone Health Plan | Commercial | $252.13 | ↑ +13% |
| Capital Blue Cross | Commercial | $252.13 | ↑ +13% |
| UPMC Health Plan | Commercial | $259.70 | ↑ +17% |
| Aetna | Commercial | $270.09 | ↑ +21% |
| Cigna | Commercial | $289.38 | ↑ +30% |
| CareFirst | Commercial | $315.35 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $315.35 | ↑ +42% |
| United Healthcare | Commercial | $319.00 | ↑ +43% |
| Wellspan Population Health | Commercial | $322.77 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $408.50 | ↑ +84% |
| Highmark BCBS of PA | Commercial | $438.01 | ↑ +97% |
| UPMC Health Plan | CHIP | $478.30 | ↑ +115% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Muscle test larynx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $324.60 | $17.86 – $432.80 |
| UPMC Bedford | Everett | $327.60 | $44.34 – $491.40 |
| UPMC Carlisle | Carlisle | $222.60 | $23.40 – $315.35 |
| UPMC Cole | Coudersport | $231.00 | $87.24 – $308.00 |
| UPMC Community Osteopathic | Harrisburg | $222.60 | $23.40 – $478.30 |
| UPMC Hamot | Erie | $327.60 | $44.91 – $188.68 |
| UPMC Northwest | Seneca | $1,132.80 | $91.40 – $188.68 |
| UPMC Jameson | New Castle | $276.00 | $20.54 – $188.68 |