Remove stent via transureth at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$5,276.40
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.
$8,794.00
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.
$1,016.56 with United Healthcare Community Plan for Families vs $7,650.78 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 | $1,016.56 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $1,345.63 | ↓ -74% |
| Keystone Health Plan | Medicare Advantage | $1,670.86 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $1,670.86 | ↓ -68% |
| Highmark BCBS of PA | Medicare | $1,937.37 | ↓ -63% |
| Humana | Medicare | $1,956.94 | ↓ -63% |
| Aetna | Medicare | $2,041.09 | ↓ -61% |
| Cigna | Medicare | $2,054.79 | ↓ -61% |
| Geisinger | Medicare | $2,054.79 | ↓ -61% |
| United Healthcare | Medicare | $2,093.93 | ↓ -60% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,113.50 | ↓ -60% |
| Prime Net | Managed Medicare | $2,128.15 | ↓ -60% |
| UPMC Health Plan | CHIP | $2,387.17 | ↓ -55% |
| Keystone Autism Services | ACAP | $3,131.10 | ↓ -41% |
| Cigna | Commercial | $3,397.00 | ↓ -36% |
| Geisinger | Medicaid/CHIP | $4,836.70 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $4,836.70 | ↓ -8% |
| Geisinger | Commercial | $5,758.31 | ↑ +9% |
| Capital Blue Cross | CHIP | $5,976.40 | ↑ +13% |
| Keystone Health Plan | Commercial | $5,976.40 | ↑ +13% |
| Capital Blue Cross | Commercial | $5,976.40 | ↑ +13% |
| UPMC Health Plan | Commercial | $6,155.80 | ↑ +17% |
| Highmark BCBS of PA | Medicaid | $6,491.95 | ↑ +23% |
| Highmark BCBS of PA | Commercial | $6,960.84 | ↑ +32% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $7,474.90 | ↑ +42% |
| CareFirst | Commercial | $7,474.90 | ↑ +42% |
| Wellspan Population Health | Commercial | $7,650.78 | ↑ +45% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| Aetna | Commercial | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Aetna | ACO | not published by hospital | — |
Visitor-reported prices
Comments
Remove stent via transureth at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,276.40 | $1,016.56 – $7,474.90 |
| UPMC Community Osteopathic | Harrisburg | $5,276.40 | $1,016.56 – $7,474.90 |
| UPMC Lititz | Lititz | $5,276.40 | $1,016.56 – $3,148.02 |
| UPMC Memorial | York | $5,276.40 | $1,016.56 – $3,142.91 |
| UPMC Somerset | Somerset | $5,276.40 | $892.40 – $2,109.06 |
| UPMC Northwest | Seneca | not published | $1,127.68 – $2,109.25 |