Sm-153 lexidron ther at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$5,947.80
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.
$9,913.00
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.
$1,883.47 with Keystone Health Plan vs $26,474.45 with UPMC Health Plan — 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 |
|---|---|---|---|
| Keystone Health Plan | Medicare Advantage | $1,883.47 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $1,883.47 | ↓ -68% |
| Prime Net | Managed Medicare | $2,398.95 | ↓ -60% |
| Highmark BCBS of PA | Medicare | $4,271.76 | ↓ -28% |
| Humana | Medicare | $4,314.91 | ↓ -27% |
| Aetna | Medicare | $4,500.45 | ↓ -24% |
| Geisinger | Medicare | $4,530.66 | ↓ -24% |
| Cigna | Medicare | $4,530.66 | ↓ -24% |
| United Healthcare | Medicare | $4,616.95 | ↓ -22% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4,660.10 | ↓ -22% |
| PA Health & Wellness | PA Medicaid HMO | $5,452.15 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $5,452.15 | ↓ -8% |
| Aetna | ACO | $5,630.58 | ↓ -5% |
| United Healthcare | Commercial | $6,106.41 | ↑ +3% |
| Geisinger | Commercial | $6,491.03 | ↑ +9% |
| Keystone Health Plan | Commercial | $6,736.87 | ↑ +13% |
| Capital Blue Cross | CHIP | $6,736.87 | ↑ +13% |
| Capital Blue Cross | Commercial | $6,736.87 | ↑ +13% |
| Keystone Autism Services | ACAP | $6,903.86 | ↑ +16% |
| UPMC Health Plan | Commercial | $6,939.10 | ↑ +17% |
| Aetna | Commercial | $7,216.66 | ↑ +21% |
| CareFirst | Commercial | $8,426.05 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $8,426.05 | ↑ +42% |
| Wellspan Population Health | Commercial | $8,624.31 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $14,314.28 | ↑ +141% |
| Highmark BCBS of PA | Commercial | $15,348.13 | ↑ +158% |
| Cigna | Commercial | $23,418.04 | ↑ +294% |
| UPMC Health Plan | CHIP | $26,474.45 | ↑ +345% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Sm-153 lexidron ther at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,947.80 | $1,358.08 – $8,426.05 |
| UPMC Community Osteopathic | Harrisburg | $5,947.80 | $1,982.60 – $26,474.45 |
| UPMC Horizon-Greenville | Greenville | $20,766.60 | $3,863.14 – $8,096.93 |
| UPMC Lititz | Lititz | $5,947.80 | $4,271.76 – $26,474.45 |
| UPMC Magee | Pittsburgh | $7,168.80 | $4,038.32 – $10,723.00 |
| UPMC Memorial | York | $5,947.80 | $4,500.45 – $26,474.45 |
| UPMC Muncy | Muncy | $12,410.40 | $3,102.60 – $18,615.60 |
| UPMC Presbyterian | Pittsburgh | $31,245.00 | $4,660.10 – $42,804.45 |