Rmvl pm gen w/rplc pm gen mlt lead sys at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$27,759.00
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.
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What you pay up front if you don't use insurance.
$46,265.00
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.
$565.13 with UPMC Work Partners vs $64,803.84 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $565.13 | ↓ -98% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -96% |
| Capital Blue Cross | Medicare Advantage | $8,790.35 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $8,790.35 | ↓ -68% |
| Prime Net | Managed Medicare | $11,196.13 | ↓ -60% |
| Aetna | Medicare | $16,377.81 | ↓ -41% |
| Cigna | Commercial | $17,298.00 | ↓ -38% |
| Highmark BCBS of PA | Medicare | $18,036.49 | ↓ -35% |
| Humana | Medicare | $18,218.68 | ↓ -34% |
| Geisinger | Medicare | $19,129.61 | ↓ -31% |
| Cigna | Medicare | $19,129.61 | ↓ -31% |
| United Healthcare | Medicare | $19,493.99 | ↓ -30% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $19,676.17 | ↓ -29% |
| PA Health & Wellness | PA Medicaid HMO | $25,445.75 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $25,445.75 | ↓ -8% |
| Aetna | ACO | $26,278.52 | ↓ -5% |
| Keystone Autism Services | ACAP | $29,149.89 | ↑ +5% |
| Geisinger | Commercial | $30,294.32 | ↑ +9% |
| Capital Blue Cross | Commercial | $31,441.69 | ↑ +13% |
| Capital Blue Cross | CHIP | $31,441.69 | ↑ +13% |
| Keystone Health Plan | Commercial | $31,441.69 | ↑ +13% |
| UPMC Health Plan | Commercial | $32,385.50 | ↑ +17% |
| UPMC Health Plan | CHIP | $32,385.50 | ↑ +17% |
| Aetna | Commercial | $33,680.92 | ↑ +21% |
| CareFirst | Commercial | $39,325.25 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $39,325.25 | ↑ +42% |
| Wellspan Population Health | Commercial | $40,250.55 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $60,438.65 | ↑ +118% |
| Highmark BCBS of PA | Commercial | $64,803.84 | ↑ +133% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Rmvl pm gen w/rplc pm gen mlt lead sys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,816.40 | $466.50 – $19,636.62 |
| UPMC Carlisle | Carlisle | $27,759.00 | $565.13 – $39,325.25 |
| UPMC Community Osteopathic | Harrisburg | $27,759.00 | $565.13 – $39,325.25 |
| UPMC East | Monroeville | $30,141.60 | $470.95 – $40,188.80 |
| UPMC Hamot | Erie | $9,586.80 | $466.50 – $26,444.52 |
| UPMC Lititz | Lititz | $27,759.00 | $400.92 – $1,016.56 |
| UPMC Memorial | York | $27,759.00 | $380.22 – $1,016.56 |
| UPMC Mercy | Pittsburgh | $29,639.40 | $466.50 – $20,000.27 |