Protein total body fluid at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$21.00
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.
?
What you pay up front if you don't use insurance.
$35.00
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.
$3.96 with Highmark BCBS of PA vs $30.45 with Wellspan Population Health — 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 BCBS of PA | Medicare | $3.96 | ↓ -81% |
| Aetna | Commercial | $4.00 | ↓ -81% |
| Humana | Medicare | $4.00 | ↓ -81% |
| Aetna | ACO | $4.00 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.10 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $4.14 | ↓ -80% |
| Aetna | Medicare | $4.17 | ↓ -80% |
| Geisinger | Medicare | $4.20 | ↓ -80% |
| Cigna | Medicare | $4.20 | ↓ -80% |
| United Healthcare | Medicare | $4.28 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.32 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5.21 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $5.33 | ↓ -75% |
| United Healthcare Community Plan for Families | PA Medicaid | $5.37 | ↓ -74% |
| United Healthcare | Commercial | $5.44 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $5.58 | ↓ -73% |
| Geisinger | Medicaid/CHIP | $5.97 | ↓ -72% |
| Keystone Autism Services | ACAP | $6.40 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $6.65 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $6.65 | ↓ -68% |
| PA Health & Wellness | PA Medicaid HMO | $6.99 | ↓ -67% |
| Prime Net | Managed Medicare | $8.47 | ↓ -60% |
| Cigna | Commercial | $10.40 | ↓ -50% |
| Highmark BCBS of PA | Medicaid | $13.27 | ↓ -37% |
| Highmark BCBS of PA | Commercial | $14.23 | ↓ -32% |
| Geisinger | Commercial | $22.92 | ↑ +9% |
| Capital Blue Cross | Commercial | $23.79 | ↑ +13% |
| Capital Blue Cross | CHIP | $23.79 | ↑ +13% |
| Keystone Health Plan | Commercial | $23.79 | ↑ +13% |
| UPMC Health Plan | Commercial | $24.50 | ↑ +17% |
| UPMC Health Plan | CHIP | $27.05 | ↑ +29% |
| CareFirst | Commercial | $29.75 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $29.75 | ↑ +42% |
| Wellspan Population Health | Commercial | $30.45 | ↑ +45% |
Visitor-reported prices
Comments
Protein total body fluid at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $61.80 | $3.96 – $82.40 |
| UPMC Bedford | Everett | $24.60 | $1.44 – $36.90 |
| UPMC Carlisle | Carlisle | $21.00 | $3.96 – $29.75 |
| UPMC Cole | Coudersport | $40.20 | $2.60 – $53.60 |
| UPMC Community Osteopathic | Harrisburg | $21.00 | $3.96 – $29.75 |
| UPMC East | Monroeville | $75.60 | $3.96 – $100.80 |
| UPMC Hamot | Erie | $126.60 | $3.96 – $9.83 |
| UPMC Northwest | Seneca | $37.20 | $3.63 – $4.71 |