Unlisted fluoroscopic px at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$226.20
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.
$377.00
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.
$69.43 with United Healthcare Community Plan for Families vs $419.44 with Cigna — 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 | $69.43 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $71.63 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $71.63 | ↓ -68% |
| Highmark BCBS of PA | Medicare | $83.27 | ↓ -63% |
| Humana | Medicare | $84.11 | ↓ -63% |
| Aetna | Medicare | $87.73 | ↓ -61% |
| Geisinger | Medicare | $88.32 | ↓ -61% |
| Cigna | Medicare | $88.32 | ↓ -61% |
| United Healthcare | Medicare | $90.00 | ↓ -60% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $90.84 | ↓ -60% |
| Prime Net | Managed Medicare | $91.23 | ↓ -60% |
| Keystone Autism Services | ACAP | $134.58 | ↓ -41% |
| Geisinger | Medicaid/CHIP | $207.35 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $207.35 | ↓ -8% |
| Aetna | ACO | $214.14 | ↓ -5% |
| Geisinger | Commercial | $246.86 | ↑ +9% |
| Capital Blue Cross | Commercial | $256.21 | ↑ +13% |
| Capital Blue Cross | CHIP | $256.21 | ↑ +13% |
| Keystone Health Plan | Commercial | $256.21 | ↑ +13% |
| UPMC Health Plan | CHIP | $263.90 | ↑ +17% |
| UPMC Health Plan | Commercial | $263.90 | ↑ +17% |
| Aetna | Commercial | $274.46 | ↑ +21% |
| United Healthcare | Commercial | $277.47 | ↑ +23% |
| Highmark BCBS of PA | Medicaid | $279.03 | ↑ +23% |
| Highmark BCBS of PA | Commercial | $299.18 | ↑ +32% |
| CareFirst | Commercial | $320.45 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $320.45 | ↑ +42% |
| Wellspan Population Health | Commercial | $327.99 | ↑ +45% |
| Cigna | Commercial | $419.44 | ↑ +85% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted fluoroscopic px at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $226.20 | $46.33 – $320.45 |
| UPMC Community Osteopathic | Harrisburg | $226.20 | $69.43 – $320.45 |
| UPMC Lititz | Lititz | $226.20 | $69.43 – $135.31 |
| UPMC Memorial | York | $226.20 | $30.22 – $508.24 |
| UPMC Presbyterian | Pittsburgh | $199.20 | $37.44 – $92.34 |
| UPMC Somerset | Somerset | $226.20 | $36.71 – $90.66 |
| WellSpan Good Samaritan Hospital | Lebanon | $400.00 | $66.04 – $497.84 |
| UPMC Passavant-McCandless | Pittsburgh | not published | $37.44 – $92.34 |