Thrombectomy/inf pq dialysis circuit w/stent plcmnt at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$24,300.00
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.
$40,500.00
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.
$521.00 with AmeriHealth Caritas vs $61,016.96 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 | $521.00 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $521.00 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $533.31 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $558.75 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $597.56 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $699.13 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -96% |
| Capital Blue Cross | Medicare Advantage | $7,695.00 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $7,695.00 | ↓ -68% |
| Premier Comp Solutions | Worker's Comp | $8,863.23 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $8,863.23 | ↓ -64% |
| Prime Net | Managed Medicare | $9,801.00 | ↓ -60% |
| Highmark BCBS of PA | Medicare | $16,982.51 | ↓ -30% |
| Humana | Medicare | $17,154.05 | ↓ -29% |
| Aetna | Medicare | $17,891.67 | ↓ -26% |
| Cigna | Medicare | $18,011.75 | ↓ -26% |
| Geisinger | Medicare | $18,011.75 | ↓ -26% |
| United Healthcare | Medicare | $18,354.83 | ↓ -24% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18,526.37 | ↓ -24% |
| Aetna | ACO | $23,004.00 | ↓ -5% |
| Geisinger | Commercial | $26,519.40 | ↑ +9% |
| Keystone Autism Services | ACAP | $27,446.48 | ↑ +13% |
| Keystone Health Plan | Commercial | $27,523.80 | ↑ +13% |
| Capital Blue Cross | Commercial | $27,523.80 | ↑ +13% |
| Capital Blue Cross | CHIP | $27,523.80 | ↑ +13% |
| UPMC Health Plan | Commercial | $28,350.00 | ↑ +17% |
| UPMC Health Plan | CHIP | $28,350.00 | ↑ +17% |
| Aetna | Commercial | $29,484.00 | ↑ +21% |
| United Healthcare | Commercial | $29,808.00 | ↑ +23% |
| Cigna | Commercial | $31,590.00 | ↑ +30% |
| CareFirst | Commercial | $34,425.00 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $34,425.00 | ↑ +42% |
| Wellspan Population Health | Commercial | $35,235.00 | ↑ +45% |
| Highmark BCBS of PA | Medicaid | $56,906.85 | ↑ +134% |
| Highmark BCBS of PA | Commercial | $61,016.96 | ↑ +151% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Thrombectomy/inf pq dialysis circuit w/stent plcmnt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $24,300.00 | $521.00 – $34,425.00 |
| UPMC Community Osteopathic | Harrisburg | $24,300.00 | $521.00 – $34,425.00 |
| UPMC East | Monroeville | $4,951.20 | $451.26 – $17,975.56 |
| UPMC Hamot | Erie | $2,865.60 | $451.26 – $24,899.21 |
| UPMC Lititz | Lititz | $24,300.00 | $521.00 – $27,594.74 |
| UPMC Magee | Pittsburgh | $2,467.80 | $451.26 – $18,489.15 |
| UPMC Memorial | York | $24,300.00 | $521.00 – $27,549.92 |
| UPMC Mercy | Pittsburgh | $4,405.80 | $451.26 – $18,831.54 |