Place cath xtrnl carotid at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$4,005.60
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.
?
What you pay up front if you don't use insurance.
$6,676.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$110.31 with Highmark Wholecare (prev Gateway) vs $9,539.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Wholecare (prev Gateway) | Medicaid | $110.31 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $112.92 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $113.79 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $117.26 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $118.30 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $126.52 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $148.03 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $356.07 | ↓ -91% |
| Capital Blue Cross | Medicare Advantage | $1,268.44 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $1,268.44 | ↓ -68% |
| Prime Net | Managed Medicare | $1,615.59 | ↓ -60% |
| Aetna | Medicare | $2,363.30 | ↓ -41% |
| Geisinger | Commercial | $4,371.44 | ↑ +9% |
| Keystone Health Plan | Commercial | $4,537.01 | ↑ +13% |
| Capital Blue Cross | Commercial | $4,537.01 | ↑ +13% |
| Capital Blue Cross | CHIP | $4,537.01 | ↑ +13% |
| UPMC Health Plan | Commercial | $4,673.20 | ↑ +17% |
| CareFirst | Commercial | $5,674.60 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5,674.60 | ↑ +42% |
| Wellspan Population Health | Commercial | $5,808.12 | ↑ +45% |
| UPMC Health Plan | CHIP | $8,935.08 | ↑ +123% |
| Cigna | Commercial | $9,539.00 | ↑ +138% |
| United Healthcare | Commercial | not published by hospital | — |
| Aetna | Commercial | not published by hospital | — |
| Aetna | ACO | not published by hospital | — |
Visitor-reported prices
Comments
Place cath xtrnl carotid at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,011.40 | $86.86 – $8,015.20 |
| UPMC Carlisle | Carlisle | $4,005.60 | $110.31 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $4,043.40 | $110.31 – $8,935.08 |
| UPMC East | Monroeville | $9,543.60 | $95.55 – $12,724.80 |
| UPMC Hamot | Erie | $9,103.20 | $95.55 – $340.24 |
| UPMC Lititz | Lititz | $4,005.60 | $110.31 – $356.07 |
| UPMC Memorial | York | $4,005.60 | $110.31 – $356.07 |
| UPMC Mercy | Pittsburgh | $10,440.00 | $95.55 – $385.02 |