Tib/per revasc stnt & ather at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$21,287.40
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.
$35,479.00
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.
$434.02 with United Healthcare Community Plan for Families vs $30,866.73 with Wellspan Population Health — 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 | $434.02 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $6,370.17 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $6,741.01 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $6,741.01 | ↓ -68% |
| Prime Net | Managed Medicare | $8,585.92 | ↓ -60% |
| Cigna | Commercial | $9,539.00 | ↓ -55% |
| Aetna | Medicare | $12,559.57 | ↓ -41% |
| Geisinger | Medicaid/CHIP | $19,513.45 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $19,513.45 | ↓ -8% |
| Aetna | ACO | $20,152.07 | ↓ -5% |
| Geisinger | Commercial | $23,231.65 | ↑ +9% |
| Keystone Health Plan | Commercial | $24,111.53 | ↑ +13% |
| Capital Blue Cross | CHIP | $24,111.53 | ↑ +13% |
| Capital Blue Cross | Commercial | $24,111.53 | ↑ +13% |
| UPMC Health Plan | CHIP | $24,835.30 | ↑ +17% |
| UPMC Health Plan | Commercial | $24,835.30 | ↑ +17% |
| Aetna | Commercial | $25,828.71 | ↑ +21% |
| CareFirst | Commercial | $30,157.15 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $30,157.15 | ↑ +42% |
| Wellspan Population Health | Commercial | $30,866.73 | ↑ +45% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Tib/per revasc stnt & ather at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $21,287.40 | $434.02 – $30,157.15 |
| UPMC Community Osteopathic | Harrisburg | $21,287.40 | $434.02 – $30,607.11 |
| UPMC Hamot | Erie | $42,124.80 | $6,087.05 – $7,414.83 |
| UPMC Lititz | Lititz | $21,287.40 | $434.02 – $6,370.17 |
| UPMC Memorial | York | $21,287.40 | $434.02 – $6,370.17 |
| UPMC Somerset | Somerset | $21,287.40 | $381.01 – $7,339.83 |
| UPMC St. Margaret | Pittsburgh | $40,945.20 | $6,087.05 – $7,485.43 |