Polysom <6 yrs cpap/bilvl at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$3,382.20
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.
$5,637.00
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.
$935.55 with United Healthcare Community Plan for Families vs $4,904.19 with Wellspan Population Health — 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 | $935.55 | ↓ -72% |
| Highmark BCBS of PA | Medicare | $962.19 | ↓ -72% |
| Humana | Medicare | $971.91 | ↓ -71% |
| Aetna | Medicare | $1,013.70 | ↓ -70% |
| Geisinger | Medicare | $1,020.51 | ↓ -70% |
| Cigna | Medicare | $1,020.51 | ↓ -70% |
| United Healthcare | Medicare | $1,039.94 | ↓ -69% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,045.76 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,045.76 | ↓ -69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,049.66 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $1,070.46 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $1,071.03 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $1,071.03 | ↓ -68% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,121.51 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $1,199.41 | ↓ -65% |
| Prime Net | Managed Medicare | $1,364.15 | ↓ -60% |
| PA Health & Wellness | PA Medicaid HMO | $1,403.29 | ↓ -59% |
| UPMC Work Partners | Workers Comp | $1,537.34 | ↓ -55% |
| Keystone Autism Services | ACAP | $1,555.06 | ↓ -54% |
| Aetna | ACO | $3,201.82 | ↓ -5% |
| Highmark BCBS of PA | Medicaid | $3,224.21 | ↓ -5% |
| Highmark BCBS of PA | Commercial | $3,457.08 | ↑ +2% |
| Geisinger | Commercial | $3,691.11 | ↑ +9% |
| Keystone Health Plan | Commercial | $3,830.91 | ↑ +13% |
| Capital Blue Cross | Commercial | $3,830.91 | ↑ +13% |
| Capital Blue Cross | CHIP | $3,830.91 | ↑ +13% |
| United Healthcare | Commercial | $3,865.00 | ↑ +14% |
| UPMC Health Plan | Commercial | $3,945.90 | ↑ +17% |
| UPMC Health Plan | CHIP | $3,945.90 | ↑ +17% |
| Aetna | Commercial | $4,103.74 | ↑ +21% |
| Cigna | Commercial | $4,396.86 | ↑ +30% |
| CareFirst | Commercial | $4,791.45 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $4,791.45 | ↑ +42% |
| Wellspan Population Health | Commercial | $4,904.19 | ↑ +45% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Polysom <6 yrs cpap/bilvl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,382.20 | $772.27 – $4,791.45 |
| UPMC Lititz | Lititz | $3,382.20 | $935.55 – $1,563.46 |
| UPMC Memorial | York | $3,382.20 | $620.39 – $1,560.93 |
| WellSpan Chambersburg Hospital | Chambersburg | $5,560.00 | $1,029.28 – $5,004.00 |
| Uniontown Hospital | Uniontown | $1,661.50 | $98.31 – $1,728.77 |