Screening hepatitis c antibody high risk at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$108.00
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.
$180.00
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.
$19.00 with AmeriHealth Caritas vs $164.87 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $19.00 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $24.13 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $24.70 | ↓ -77% |
| United Healthcare Community Plan for Families | PA Medicaid | $24.89 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $25.88 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $27.68 | ↓ -74% |
| PA Health & Wellness | PA Medicaid HMO | $32.38 | ↓ -70% |
| Capital Blue Cross | Medicare Advantage | $34.20 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $34.20 | ↓ -68% |
| Prime Net | Managed Medicare | $43.56 | ↓ -60% |
| Highmark BCBS of PA | Medicare | $45.89 | ↓ -58% |
| Aetna | Commercial | $46.35 | ↓ -57% |
| Humana | Medicare | $46.35 | ↓ -57% |
| Aetna | ACO | $46.35 | ↓ -57% |
| UPMC Health Plan | CHIP | $46.48 | ↓ -57% |
| Aetna | Medicare | $48.34 | ↓ -55% |
| Geisinger | Medicare | $48.67 | ↓ -55% |
| Cigna | Medicare | $48.67 | ↓ -55% |
| United Healthcare | Medicare | $49.59 | ↓ -54% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $50.06 | ↓ -54% |
| Keystone Autism Services | ACAP | $74.16 | ↓ -31% |
| Geisinger | Commercial | $117.86 | ↑ +9% |
| Keystone Health Plan | Commercial | $122.33 | ↑ +13% |
| Capital Blue Cross | Commercial | $122.33 | ↑ +13% |
| Capital Blue Cross | CHIP | $122.33 | ↑ +13% |
| UPMC Health Plan | Commercial | $126.00 | ↑ +17% |
| Cigna | Commercial | $140.40 | ↑ +30% |
| CareFirst | Commercial | $153.00 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $153.00 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $153.76 | ↑ +42% |
| Wellspan Population Health | Commercial | $156.60 | ↑ +45% |
| Highmark BCBS of PA | Commercial | $164.87 | ↑ +53% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Screening hepatitis c antibody high risk at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $48.00 | $9.22 – $64.00 |
| UPMC Bedford | Everett | $66.60 | $16.72 – $99.90 |
| UPMC Carlisle | Carlisle | $108.00 | $19.00 – $153.00 |
| UPMC Community Osteopathic | Harrisburg | $108.00 | $19.00 – $153.00 |
| UPMC East | Monroeville | $42.00 | $9.31 – $56.00 |
| UPMC Lititz | Lititz | $108.00 | $19.00 – $74.16 |
| UPMC Magee | Pittsburgh | $44.40 | $9.31 – $50.06 |
| UPMC Memorial | York | $108.00 | $7.51 – $74.16 |