Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$947.40
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.
$1,579.00
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.
$113.99 with United Healthcare vs $1,373.73 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 | Commercial | $113.99 | ↓ -88% |
| United Healthcare Community Plan for Families | PA Medicaid | $131.03 | ↓ -86% |
| Highmark BCBS of PA | Medicare | $162.32 | ↓ -83% |
| Aetna | Commercial | $163.96 | ↓ -83% |
| Humana | Medicare | $163.96 | ↓ -83% |
| Aetna | ACO | $163.96 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $169.58 | ↓ -82% |
| Aetna | Medicare | $171.01 | ↓ -82% |
| Cigna | Medicare | $172.16 | ↓ -82% |
| Geisinger | Medicare | $172.16 | ↓ -82% |
| United Healthcare | Medicare | $175.44 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $177.08 | ↓ -81% |
| Keystone Autism Services | ACAP | $262.34 | ↓ -72% |
| UPMC Health Plan | CHIP | $279.50 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $300.01 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $300.01 | ↓ -68% |
| Prime Net | Managed Medicare | $382.12 | ↓ -60% |
| Cigna | Commercial | $426.28 | ↓ -55% |
| Highmark BCBS of PA | Medicaid | $543.92 | ↓ -43% |
| Highmark BCBS of PA | Commercial | $583.21 | ↓ -38% |
| PA Health & Wellness | PA Medicaid HMO | $868.45 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $868.45 | ↓ -8% |
| Geisinger | Commercial | $1,033.93 | ↑ +9% |
| Capital Blue Cross | Commercial | $1,073.09 | ↑ +13% |
| Capital Blue Cross | CHIP | $1,073.09 | ↑ +13% |
| Keystone Health Plan | Commercial | $1,073.09 | ↑ +13% |
| UPMC Health Plan | Commercial | $1,105.30 | ↑ +17% |
| CareFirst | Commercial | $1,342.15 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,342.15 | ↑ +42% |
| Wellspan Population Health | Commercial | $1,373.73 | ↑ +45% |
Visitor-reported prices
Comments
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $964.80 | $112.50 – $180.00 |
| UPMC Bedford | Everett | $703.20 | $59.16 – $1,054.80 |
| UPMC Carlisle | Carlisle | $947.40 | $90.18 – $1,342.15 |
| UPMC Cole | Coudersport | $752.40 | $53.00 – $1,003.20 |
| UPMC Community Osteopathic | Harrisburg | $947.40 | $131.03 – $1,342.15 |
| UPMC East | Monroeville | $1,051.20 | $76.89 – $937.60 |
| UPMC Hamot | Erie | $1,068.00 | $139.57 – $177.08 |
| UPMC Northwest | Seneca | $1,051.20 | $77.60 – $177.08 |