Unlisted ultrasound procedure at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$280.20
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.
$467.00
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.
$48.94 with UPMC Health Plan 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 |
|---|---|---|---|
| UPMC Health Plan | CHIP | $48.94 | ↓ -83% |
| United Healthcare Community Plan for Families | PA Medicaid | $69.43 | ↓ -75% |
| Highmark BCBS of PA | Medicare | $83.27 | ↓ -70% |
| Humana | Medicare | $84.11 | ↓ -70% |
| Aetna | Medicare | $87.73 | ↓ -69% |
| Cigna | Medicare | $88.32 | ↓ -68% |
| Geisinger | Medicare | $88.32 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $88.73 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $88.73 | ↓ -68% |
| United Healthcare | Medicare | $90.00 | ↓ -68% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $90.84 | ↓ -68% |
| Prime Net | Managed Medicare | $113.01 | ↓ -60% |
| Keystone Autism Services | ACAP | $134.58 | ↓ -52% |
| PA Health & Wellness | PA Medicaid HMO | $256.85 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $256.85 | ↓ -8% |
| Aetna | ACO | $265.26 | ↓ -5% |
| Highmark BCBS of PA | Medicaid | $279.03 | ↓ -0% |
| Highmark BCBS of PA | Commercial | $299.18 | ↑ +7% |
| Geisinger | Commercial | $305.79 | ↑ +9% |
| Keystone Health Plan | Commercial | $317.37 | ↑ +13% |
| Capital Blue Cross | CHIP | $317.37 | ↑ +13% |
| Capital Blue Cross | Commercial | $317.37 | ↑ +13% |
| UPMC Health Plan | Commercial | $326.90 | ↑ +17% |
| Aetna | Commercial | $339.98 | ↑ +21% |
| United Healthcare | Commercial | $343.71 | ↑ +23% |
| CareFirst | Commercial | $396.95 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $396.95 | ↑ +42% |
| Wellspan Population Health | Commercial | $406.29 | ↑ +45% |
| Cigna | Commercial | $419.44 | ↑ +50% |
| 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 ultrasound procedure at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $280.20 | $46.33 – $396.95 |
| UPMC Northwest | Seneca | $306.00 | $30.89 – $90.67 |
| UPMC Kane | Kane | $262.20 | $36.04 – $36.04 |
| UPMC Lititz | Lititz | $280.20 | $48.94 – $135.31 |
| UPMC Magee | Pittsburgh | $78.60 | $18.77 – $92.34 |
| UPMC Memorial | York | $280.20 | $15.15 – $135.09 |
| UPMC Wellsboro | Wellsboro | $146.40 | $67.84 – $67.84 |
| Uniontown Hospital | Uniontown | $135.00 | $84.35 – $196.54 |