Warde 3016000 west nile virus antibody at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$94.20
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.
$157.00
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.
$16.68 with Highmark BCBS of PA vs $116.58 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $16.68 | ↓ -82% |
| Aetna | Commercial | $16.85 | ↓ -82% |
| Humana | Medicare | $16.85 | ↓ -82% |
| Aetna | ACO | $16.85 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $17.42 | ↓ -82% |
| Aetna | Medicare | $17.57 | ↓ -81% |
| Geisinger | Medicare | $17.69 | ↓ -81% |
| Cigna | Medicare | $17.69 | ↓ -81% |
| United Healthcare | Medicare | $18.03 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18.20 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $18.83 | ↓ -80% |
| United Healthcare | Commercial | $19.08 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $23.91 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $24.48 | ↓ -74% |
| United Healthcare Community Plan for Families | PA Medicaid | $24.67 | ↓ -74% |
| Keystone Health Plan | Medicare Advantage | $25.46 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $25.46 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $25.65 | ↓ -73% |
| Keystone Autism Services | ACAP | $26.96 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $27.43 | ↓ -71% |
| PA Health & Wellness | PA Medicaid HMO | $32.09 | ↓ -66% |
| Prime Net | Managed Medicare | $32.43 | ↓ -66% |
| Cigna | Commercial | $43.80 | ↓ -54% |
| Highmark BCBS of PA | Medicaid | $55.90 | ↓ -41% |
| Highmark BCBS of PA | Commercial | $59.94 | ↓ -36% |
| Geisinger | Commercial | $87.74 | ↓ -7% |
| Capital Blue Cross | CHIP | $91.07 | ↓ -3% |
| Capital Blue Cross | Commercial | $91.07 | ↓ -3% |
| Keystone Health Plan | Commercial | $91.07 | ↓ -3% |
| UPMC Health Plan | Commercial | $93.80 | ↓ -0% |
| CareFirst | Commercial | $113.90 | ↑ +21% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $113.90 | ↑ +21% |
| UPMC Health Plan | CHIP | $116.03 | ↑ +23% |
| Wellspan Population Health | Commercial | $116.58 | ↑ +24% |
Visitor-reported prices
Comments
Warde 3016000 west nile virus antibody at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $226.20 | $16.65 – $301.60 |
| UPMC Bedford | Everett | $274.20 | $6.08 – $411.30 |
| UPMC Carlisle | Carlisle | $94.20 | $16.68 – $113.90 |
| UPMC Community Osteopathic | Harrisburg | $94.20 | $15.40 – $116.03 |
| UPMC East | Monroeville | $338.40 | $16.65 – $451.20 |
| UPMC Hamot | Erie | $246.00 | $16.65 – $43.76 |
| UPMC Northwest | Seneca | $126.60 | $15.28 – $21.65 |
| UPMC Horizon-Greenville | Greenville | $150.00 | $15.09 – $31.62 |