Removal implant superficial separate procedure at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$4,161.60
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.
$6,936.00
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.
$118.75 with AmeriHealth Caritas vs $6,034.32 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $118.75 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $118.75 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $121.55 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $127.35 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $136.19 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $159.34 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $409.07 | ↓ -90% |
| United Healthcare Community Plan for Families | PA Medicaid | $860.67 | ↓ -79% |
| Capital Blue Cross | Medicare Advantage | $1,317.84 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $1,317.84 | ↓ -68% |
| Highmark BCBS of PA | Medicare | $1,532.34 | ↓ -63% |
| Humana | Medicare | $1,547.82 | ↓ -63% |
| Aetna | Medicare | $1,614.38 | ↓ -61% |
| Geisinger | Medicare | $1,625.21 | ↓ -61% |
| Cigna | Medicare | $1,625.21 | ↓ -61% |
| United Healthcare | Medicare | $1,656.17 | ↓ -60% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,671.65 | ↓ -60% |
| Prime Net | Managed Medicare | $1,678.51 | ↓ -60% |
| UPMC Health Plan | CHIP | $1,714.83 | ↓ -59% |
| Keystone Autism Services | ACAP | $2,476.51 | ↓ -40% |
| Cigna | Commercial | $3,397.00 | ↓ -18% |
| Aetna | ACO | $3,939.65 | ↓ -5% |
| Geisinger | Commercial | $4,541.69 | ↑ +9% |
| Keystone Health Plan | Commercial | $4,713.71 | ↑ +13% |
| Capital Blue Cross | CHIP | $4,713.71 | ↑ +13% |
| Capital Blue Cross | Commercial | $4,713.71 | ↑ +13% |
| UPMC Health Plan | Commercial | $4,855.20 | ↑ +17% |
| Aetna | Commercial | $5,049.41 | ↑ +21% |
| Highmark BCBS of PA | Medicaid | $5,134.74 | ↑ +23% |
| Highmark BCBS of PA | Commercial | $5,505.60 | ↑ +32% |
| CareFirst | Commercial | $5,895.60 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5,895.60 | ↑ +42% |
| Wellspan Population Health | Commercial | $6,034.32 | ↑ +45% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Removal implant superficial separate procedure at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $4,239.00 | $98.17 – $6,358.50 |
| UPMC Carlisle | Carlisle | $4,161.60 | $118.75 – $5,895.60 |
| UPMC Cole | Coudersport | $307.20 | $98.17 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $4,161.60 | $118.75 – $5,895.60 |
| UPMC Hamot | Erie | $3,037.80 | $102.85 – $2,246.66 |
| UPMC Lititz | Lititz | $4,161.60 | $118.75 – $2,489.89 |
| UPMC Memorial | York | $4,161.60 | $118.75 – $2,485.84 |
| UPMC Mercy | Pittsburgh | $2,236.20 | $102.85 – $1,699.17 |