Pt application of modality >=1 area iontophoresis each 15 minutes at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$60.60
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.
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What you pay up front if you don't use insurance.
$101.00
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.
$17.37 with United Healthcare Community Plan for Families vs $387.00 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $17.37 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $19.19 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $19.19 | ↓ -68% |
| Prime Net | Managed Medicare | $24.44 | ↓ -60% |
| Aetna | Medicare | $35.75 | ↓ -41% |
| UPMC Work Partners | Workers Comp | $37.55 | ↓ -38% |
| Geisinger | Medicaid/CHIP | $55.55 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $55.55 | ↓ -8% |
| Aetna | ACO | $57.37 | ↓ -5% |
| Geisinger | Commercial | $66.13 | ↑ +9% |
| UPMC Health Plan | CHIP | $68.60 | ↑ +13% |
| Keystone Health Plan | Commercial | $68.64 | ↑ +13% |
| Capital Blue Cross | Commercial | $68.64 | ↑ +13% |
| Capital Blue Cross | CHIP | $68.64 | ↑ +13% |
| UPMC Health Plan | Commercial | $70.70 | ↑ +17% |
| Aetna | Commercial | $73.53 | ↑ +21% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $85.85 | ↑ +42% |
| CareFirst | Commercial | $85.85 | ↑ +42% |
| Wellspan Population Health | Commercial | $87.87 | ↑ +45% |
| United Healthcare | Commercial | $148.00 | ↑ +144% |
| Cigna | Commercial | $387.00 | ↑ +539% |
Visitor-reported prices
Comments
Pt application of modality >=1 area iontophoresis each 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $69.00 | $20.34 – $92.00 |
| UPMC Kane | Kane | $99.00 | $40.51 – $83.04 |
| UPMC Muncy | Muncy | $103.20 | $16.97 – $40.55 |
| UPMC St. Margaret | Pittsburgh | $93.60 | $25.73 – $84.18 |
| UPMC Wellsboro | Wellsboro | $124.80 | $16.97 – $35.33 |
| UPMC Williamsport | Williamsport | $103.20 | $16.97 – $41.88 |
| WellSpan Chambersburg Hospital | Chambersburg | $163.20 | $50.00 – $325.00 |
| Uniontown Hospital | Uniontown | $55.00 | $13.90 – $37.80 |