Resp virus 6-11 targets at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$1,212.60
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.
$2,021.00
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.
$190.06 with United Healthcare vs $1,758.27 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 | Commercial | $190.06 | ↓ -84% |
| Highmark BCBS of PA | Medicare | $215.88 | ↓ -82% |
| Aetna | Commercial | $218.06 | ↓ -82% |
| Humana | Medicare | $218.06 | ↓ -82% |
| Aetna | ACO | $218.06 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $225.54 | ↓ -81% |
| Aetna | Medicare | $227.44 | ↓ -81% |
| Cigna | Medicare | $228.96 | ↓ -81% |
| Geisinger | Medicare | $228.96 | ↓ -81% |
| United Healthcare | Medicare | $233.32 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $234.70 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $235.50 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $298.07 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $305.11 | ↓ -75% |
| United Healthcare Community Plan for Families | PA Medicaid | $307.46 | ↓ -75% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $319.66 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $341.86 | ↓ -72% |
| Keystone Autism Services | ACAP | $348.90 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $383.99 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $383.99 | ↓ -68% |
| PA Health & Wellness | PA Medicaid HMO | $399.98 | ↓ -67% |
| Prime Net | Managed Medicare | $489.08 | ↓ -60% |
| Cigna | Commercial | $566.96 | ↓ -53% |
| UPMC Health Plan | CHIP | $674.18 | ↓ -44% |
| Highmark BCBS of PA | Medicaid | $723.39 | ↓ -40% |
| Highmark BCBS of PA | Commercial | $775.64 | ↓ -36% |
| Geisinger | Commercial | $1,323.35 | ↑ +9% |
| Capital Blue Cross | Commercial | $1,373.47 | ↑ +13% |
| Capital Blue Cross | CHIP | $1,373.47 | ↑ +13% |
| Keystone Health Plan | Commercial | $1,373.47 | ↑ +13% |
| UPMC Health Plan | Commercial | $1,414.70 | ↑ +17% |
| CareFirst | Commercial | $1,717.85 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,717.85 | ↑ +42% |
| Wellspan Population Health | Commercial | $1,758.27 | ↑ +45% |
Visitor-reported prices
Comments
Resp virus 6-11 targets at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,237.80 | $215.52 – $1,650.40 |
| UPMC Bedford | Everett | $1,667.40 | $78.68 – $2,501.10 |
| UPMC Carlisle | Carlisle | $1,212.60 | $190.06 – $1,717.85 |
| UPMC Community Osteopathic | Harrisburg | $1,212.60 | $215.88 – $1,717.85 |
| UPMC East | Monroeville | $1,082.40 | $185.46 – $1,443.20 |
| UPMC Hamot | Erie | $1,335.60 | $215.52 – $326.21 |
| UPMC Northwest | Seneca | $1,575.00 | $187.18 – $269.90 |
| UPMC Horizon-Greenville | Greenville | $968.40 | $187.78 – $404.46 |