Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC INC/DRN DEEP ABS HMTA ST NK TX
Hanover, PA
See all hospitals reporting CPT 21501 →Price type
UPMC Hanover’s median price of $2.9k is 3% below the median hospital's median price ($3.0k), higher than 45% of the 1,961 hospitals reporting CPT 21501. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 17 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 2 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 3 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 4 | Highmark medicare facility · fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 5 | Humana medicare facility · fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 6 | Aetna medicare facility · fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 7 | Cigna medicare facility · fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 8 | UnitedHealthcare medicare facility · fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 9 | Highmark medicaid facility · fee schedule · outpatient | $4.6k | $4.6k | $4.5k | 98% | — | $112 – $9.1k |
| 10 | Cigna commercial facility · case rate · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 11 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 12 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 13 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 14 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 15 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 16 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 17 | Highmark commercial facility · fee schedule · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
Last updated: Mar 6, 2026
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