Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$5,983.20
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.
$9,972.00
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.
$740.15 with United Healthcare Community Plan for Families vs $12,439.97 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $740.15 | ↓ -88% |
| Capital Blue Cross | Medicare Advantage | $1,894.68 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $1,894.68 | ↓ -68% |
| UPMC Health Plan | CHIP | $2,315.99 | ↓ -61% |
| Prime Net | Managed Medicare | $2,413.22 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $2,474.57 | ↓ -59% |
| Highmark BCBS of PA | Medicare | $3,462.35 | ↓ -42% |
| Humana | Medicare | $3,497.32 | ↓ -42% |
| Aetna | Medicare | $3,647.70 | ↓ -39% |
| Geisinger | Medicare | $3,672.19 | ↓ -39% |
| Cigna | Medicare | $3,672.19 | ↓ -39% |
| United Healthcare | Medicare | $3,742.13 | ↓ -37% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,777.11 | ↓ -37% |
| Geisinger | Medicaid/CHIP | $5,484.60 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $5,484.60 | ↓ -8% |
| Keystone Autism Services | ACAP | $5,595.71 | ↓ -6% |
| Aetna | ACO | $5,664.10 | ↓ -5% |
| Geisinger | Commercial | $6,529.67 | ↑ +9% |
| Capital Blue Cross | Commercial | $6,776.97 | ↑ +13% |
| Capital Blue Cross | CHIP | $6,776.97 | ↑ +13% |
| Keystone Health Plan | Commercial | $6,776.97 | ↑ +13% |
| UPMC Health Plan | Commercial | $6,980.40 | ↑ +17% |
| Aetna | Commercial | $7,259.62 | ↑ +21% |
| CareFirst | Commercial | $8,476.20 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $8,476.20 | ↑ +42% |
| Wellspan Population Health | Commercial | $8,675.64 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $11,602.01 | ↑ +94% |
| Highmark BCBS of PA | Commercial | $12,439.97 | ↑ +108% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,983.20 | $740.15 – $8,476.20 |
| UPMC Cole | Coudersport | $1,369.20 | $632.57 – $2,357.48 |
| UPMC Lititz | Lititz | $5,983.20 | $740.15 – $5,625.95 |
| UPMC Altoona | Altoona | not published | $729.80 – $3,769.52 |
| UPMC Mercy | Pittsburgh | not published | $596.00 – $3,839.33 |
| UPMC Presbyterian | Pittsburgh | not published | $678.00 – $3,839.33 |
| UPMC Wellsboro | Wellsboro | not published | $723.20 – $2,357.48 |
| WellSpan Chambersburg Hospital | Chambersburg | not published | $970.00 – $16,837.17 |