Organic acids total quant ea spec at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$36.00
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.
$60.00
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.
$11.40 with Keystone Health Plan vs $136.98 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $11.40 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $11.40 | ↓ -68% |
| Prime Net | Managed Medicare | $14.52 | ↓ -60% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $22.75 | ↓ -37% |
| Highmark BCBS of PA | Medicare | $23.36 | ↓ -35% |
| Aetna | ACO | $23.60 | ↓ -34% |
| Aetna | Commercial | $23.60 | ↓ -34% |
| Humana | Medicare | $23.60 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $24.41 | ↓ -32% |
| Aetna | Medicare | $24.61 | ↓ -32% |
| Geisinger | Medicare | $24.78 | ↓ -31% |
| Cigna | Medicare | $24.78 | ↓ -31% |
| United Healthcare | Medicare | $25.25 | ↓ -30% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $25.49 | ↓ -29% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28.89 | ↓ -20% |
| UPMC Health Plan | Managed Medicaid | $29.57 | ↓ -18% |
| United Healthcare Community Plan for Families | PA Medicaid | $29.80 | ↓ -17% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $30.99 | ↓ -14% |
| United Healthcare | Commercial | $32.87 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $33.14 | ↓ -8% |
| Keystone Autism Services | ACAP | $37.76 | ↑ +5% |
| PA Health & Wellness | PA Medicaid HMO | $38.77 | ↑ +8% |
| Geisinger | Commercial | $39.29 | ↑ +9% |
| Capital Blue Cross | Commercial | $40.78 | ↑ +13% |
| Capital Blue Cross | CHIP | $40.78 | ↑ +13% |
| Keystone Health Plan | Commercial | $40.78 | ↑ +13% |
| UPMC Health Plan | Commercial | $42.00 | ↑ +17% |
| CareFirst | Commercial | $51.00 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $51.00 | ↑ +42% |
| Wellspan Population Health | Commercial | $52.20 | ↑ +45% |
| Cigna | Commercial | $61.36 | ↑ +70% |
| Highmark BCBS of PA | Medicaid | $78.29 | ↑ +117% |
| Highmark BCBS of PA | Commercial | $83.95 | ↑ +133% |
| UPMC Health Plan | CHIP | $136.98 | ↑ +281% |
Visitor-reported prices
Comments
Organic acids total quant ea spec at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $264.00 | $22.75 – $352.00 |
| UPMC Bedford | Everett | $274.80 | $8.51 – $412.20 |
| UPMC Carlisle | Carlisle | $36.00 | $8.22 – $51.00 |
| UPMC Community Osteopathic | Harrisburg | $36.00 | $12.00 – $136.98 |
| UPMC East | Monroeville | $257.40 | $22.75 – $343.20 |
| UPMC Hamot | Erie | $305.40 | $22.62 – $44.74 |
| UPMC Northwest | Seneca | $145.20 | $21.40 – $26.16 |
| UPMC Horizon-Greenville | Greenville | $388.80 | $21.13 – $44.29 |