Paliperidone 117 mg/0.75 ml inj at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$1,391.40
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.
$2,319.00
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.
$14.96 with Highmark BCBS of PA vs $2,273.54 with Health Partners Plans (Jefferson 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $14.96 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $15.11 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.11 | ↓ -99% |
| Humana | Medicare | $15.11 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $15.11 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $15.41 | ↓ -99% |
| Aetna | Medicare | $15.76 | ↓ -99% |
| Cigna | Medicare | $15.87 | ↓ -99% |
| Geisinger | Medicare | $15.87 | ↓ -99% |
| United Healthcare | Medicare | $16.17 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $16.32 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $16.62 | ↓ -99% |
| UPMC Health Plan | CHIP | $18.59 | ↓ -99% |
| Cigna | Commercial | $20.19 | ↓ -99% |
| Keystone Autism Services | ACAP | $24.18 | ↓ -98% |
| Highmark BCBS of PA | Medicaid | $50.13 | ↓ -96% |
| Highmark BCBS of PA | Commercial | $53.75 | ↓ -96% |
| United Healthcare | Commercial | $100.57 | ↓ -93% |
| Keystone Health Plan | Medicare Advantage | $402.42 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $402.42 | ↓ -71% |
| Prime Net | Managed Medicare | $512.56 | ↓ -63% |
| UPMC Work Partners | Workers Comp | $1,053.28 | ↓ -24% |
| Aetna | ACO | $1,203.02 | ↓ -14% |
| Geisinger | Commercial | $1,386.87 | ↓ -0% |
| Capital Blue Cross | CHIP | $1,439.39 | ↑ +3% |
| Capital Blue Cross | Commercial | $1,439.39 | ↑ +3% |
| Keystone Health Plan | Commercial | $1,439.39 | ↑ +3% |
| UPMC Health Plan | Commercial | $1,482.60 | ↑ +7% |
| Aetna | Commercial | $1,541.90 | ↑ +11% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,800.30 | ↑ +29% |
| CareFirst | Commercial | $1,800.30 | ↑ +29% |
| Wellspan Population Health | Commercial | $1,842.66 | ↑ +32% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,273.54 | ↑ +63% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Paliperidone 117 mg/0.75 ml inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,391.40 | $14.96 – $2,273.54 |
| UPMC Community Osteopathic | Harrisburg | $1,391.40 | $14.96 – $2,273.54 |
| UPMC Lititz | Lititz | $1,391.40 | $14.96 – $2,273.54 |
| UPMC Magee | Pittsburgh | $5,211.60 | $9.54 – $2,511.56 |
| UPMC Memorial | York | $1,391.40 | $10.94 – $2,273.54 |
| UPMC Muncy | Muncy | $9,557.40 | $15.11 – $16.62 |
| UPMC Passavant-McCandless | Pittsburgh | $4,138.20 | $9.54 – $2,397.39 |
| UPMC Somerset | Somerset | $1,391.40 | $13.28 – $15.11 |