Warde 1007138 vanillymandelic acid 24 hour urine at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$78.60
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.
$131.00
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.
$7.45 with United Healthcare vs $113.97 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 | Commercial | $7.45 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.00 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $15.24 | ↓ -81% |
| Highmark BCBS of PA | Medicare | $15.35 | ↓ -80% |
| Aetna | Commercial | $15.50 | ↓ -80% |
| Aetna | ACO | $15.50 | ↓ -80% |
| Humana | Medicare | $15.50 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $15.60 | ↓ -80% |
| United Healthcare Community Plan for Families | PA Medicaid | $15.72 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $16.03 | ↓ -80% |
| Aetna | Medicare | $16.17 | ↓ -79% |
| Cigna | Medicare | $16.27 | ↓ -79% |
| Geisinger | Medicare | $16.27 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $16.34 | ↓ -79% |
| United Healthcare | Medicare | $16.59 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $16.74 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $17.48 | ↓ -78% |
| PA Health & Wellness | PA Medicaid HMO | $20.45 | ↓ -74% |
| Keystone Autism Services | ACAP | $24.80 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $24.89 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $24.89 | ↓ -68% |
| Prime Net | Managed Medicare | $31.70 | ↓ -60% |
| Cigna | Commercial | $40.32 | ↓ -49% |
| Highmark BCBS of PA | Medicaid | $51.42 | ↓ -35% |
| Highmark BCBS of PA | Commercial | $55.13 | ↓ -30% |
| Geisinger | Commercial | $85.78 | ↑ +9% |
| Keystone Health Plan | Commercial | $89.03 | ↑ +13% |
| Capital Blue Cross | Commercial | $89.03 | ↑ +13% |
| Capital Blue Cross | CHIP | $89.03 | ↑ +13% |
| UPMC Health Plan | Commercial | $91.70 | ↑ +17% |
| UPMC Health Plan | CHIP | $93.63 | ↑ +19% |
| CareFirst | Commercial | $111.35 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $111.35 | ↑ +42% |
| Wellspan Population Health | Commercial | $113.97 | ↑ +45% |
Visitor-reported prices
Comments
Warde 1007138 vanillymandelic acid 24 hour urine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $208.20 | $12.00 – $277.60 |
| UPMC Bedford | Everett | $83.40 | $5.59 – $125.10 |
| UPMC Carlisle | Carlisle | $78.60 | $7.45 – $111.35 |
| UPMC Cole | Coudersport | $107.40 | $10.08 – $143.20 |
| UPMC Community Osteopathic | Harrisburg | $78.60 | $12.00 – $111.35 |
| UPMC East | Monroeville | $231.60 | $12.00 – $308.80 |
| UPMC Hamot | Erie | $358.80 | $12.00 – $29.96 |
| UPMC Northwest | Seneca | $80.40 | $13.20 – $16.74 |