Xm archive tissue molec anal at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$54.60
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.
$91.00
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.
$13.56 with AmeriHealth Caritas vs $83.23 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $13.56 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $17.22 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $17.29 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $17.29 | ↓ -68% |
| UPMC Health Plan | Managed Medicaid | $17.63 | ↓ -68% |
| United Healthcare Community Plan for Families | PA Medicaid | $17.76 | ↓ -67% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $18.47 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $19.75 | ↓ -64% |
| Prime Net | Managed Medicare | $22.02 | ↓ -60% |
| PA Health & Wellness | PA Medicaid HMO | $23.11 | ↓ -58% |
| Highmark BCBS of PA | Medicare | $23.17 | ↓ -58% |
| Aetna | Commercial | $23.40 | ↓ -57% |
| Humana | Medicare | $23.40 | ↓ -57% |
| Aetna | ACO | $23.40 | ↓ -57% |
| Aetna | Medicare | $24.41 | ↓ -55% |
| Cigna | Medicare | $24.57 | ↓ -55% |
| Geisinger | Medicare | $24.57 | ↓ -55% |
| United Healthcare | Medicare | $25.04 | ↓ -54% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $25.27 | ↓ -54% |
| UPMC Health Plan | CHIP | $27.27 | ↓ -50% |
| Keystone Autism Services | ACAP | $37.44 | ↓ -31% |
| Cigna | Commercial | $53.48 | ↓ -2% |
| UPMC Work Partners | Workers Comp | $59.29 | ↑ +9% |
| Geisinger | Commercial | $59.59 | ↑ +9% |
| Capital Blue Cross | Commercial | $61.84 | ↑ +13% |
| Capital Blue Cross | CHIP | $61.84 | ↑ +13% |
| Keystone Health Plan | Commercial | $61.84 | ↑ +13% |
| UPMC Health Plan | Commercial | $63.70 | ↑ +17% |
| CareFirst | Commercial | $77.35 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $77.35 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $77.63 | ↑ +42% |
| Wellspan Population Health | Commercial | $79.17 | ↑ +45% |
| Highmark BCBS of PA | Commercial | $83.23 | ↑ +52% |
Visitor-reported prices
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Xm archive tissue molec anal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $54.60 | $12.47 – $77.35 |
| UPMC Community Osteopathic | Harrisburg | $54.60 | $13.56 – $77.35 |
| UPMC Lititz | Lititz | $54.60 | $13.56 – $59.29 |
| UPMC Memorial | York | $54.60 | $13.56 – $83.98 |
| UPMC Somerset | Somerset | $54.60 | $14.92 – $56.66 |
| WellSpan Chambersburg Hospital | Chambersburg | $104.00 | $13.56 – $112.63 |
| WellSpan Ephrata Community Hospital | Ephrata | $104.00 | $13.56 – $85.53 |
| WellSpan Gettysburg Hospital | Gettysburg | $51.20 | $13.56 – $85.11 |