Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$104.40
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.
$174.00
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.
$11.02 with Capital Blue Cross vs $59.45 with Cigna — 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $11.02 | ↓ -89% |
| Keystone Health Plan | Medicare Advantage | $11.02 | ↓ -89% |
| Prime Net | Managed Medicare | $14.04 | ↓ -87% |
| Aetna | Medicare | $20.53 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $28.84 | ↓ -72% |
| Aetna | ACO | $32.94 | ↓ -68% |
| United Healthcare | Commercial | $35.73 | ↓ -66% |
| Geisinger | Commercial | $37.98 | ↓ -64% |
| Capital Blue Cross | Commercial | $39.42 | ↓ -62% |
| Capital Blue Cross | CHIP | $39.42 | ↓ -62% |
| Keystone Health Plan | Commercial | $39.42 | ↓ -62% |
| UPMC Health Plan | Commercial | $40.60 | ↓ -61% |
| PA Health & Wellness | PA Medicaid HMO | $40.65 | ↓ -61% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $40.65 | ↓ -61% |
| Geisinger | Medicaid/CHIP | $40.65 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicaid | $41.47 | ↓ -60% |
| Aetna | Commercial | $42.22 | ↓ -60% |
| UPMC Health Plan | Managed Medicaid | $44.72 | ↓ -57% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $49.30 | ↓ -53% |
| CareFirst | Commercial | $49.30 | ↓ -53% |
| UPMC Health Plan | CHIP | $50.00 | ↓ -52% |
| Wellspan Population Health | Commercial | $50.46 | ↓ -52% |
| Cigna | Commercial | $59.45 | ↓ -43% |
Visitor-reported prices
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Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,221.60 | $25.67 – $566.40 |
| UPMC Bedford | Everett | $606.00 | $25.67 – $456.30 |
| UPMC Carlisle | Carlisle | $104.40 | $7.95 – $59.45 |
| UPMC Cole | Coudersport | $262.80 | $44.72 – $350.40 |
| UPMC Community Osteopathic | Harrisburg | $104.40 | $11.60 – $229.34 |
| UPMC East | Monroeville | $618.60 | $25.67 – $824.80 |
| UPMC Hamot | Erie | $557.40 | $25.67 – $137.74 |
| UPMC Northwest | Seneca | $824.40 | $25.67 – $357.48 |