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 PSA % FREE & TOTAL - A
Hanover, PA
See all hospitals reporting CPT 84153 →Price type
UPMC Hanover’s median price of $35 is 14% above the median hospital's median price ($31), higher than 56% of the 2,653 hospitals reporting CPT 84153. 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, 20 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 | Highmark medicare facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 2 | Aetna aco facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Aetna commercial facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 4 | Humana medicare facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 5 | Aetna medicare facility · fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 6 | Cigna medicare facility · fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 8 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 9 | UnitedHealthcare commercial facility · fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 10 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 11 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 12 | Highmark medicaid facility · fee schedule · outpatient | $46 | $46 | $15 | 33% | — | $31 – $61 |
| 13 | Cigna commercial facility · fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 14 | Highmark commercial facility · fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 15 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $124 | $124 | — | — | — | $124 – $124 |
| 16 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $124 | $124 | — | — | — | $124 – $124 |
| 17 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $156 | $156 | — | — | — | $156 – $156 |
| 18 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $156 | $156 | — | — | — | $156 – $156 |
| 19 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $156 | $156 | — | — | — | $156 – $156 |
| 20 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $156 | $156 | — | — | — | $156 – $156 |
Last updated: Mar 6, 2026
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