5' nucleotidase - sendout at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$141.00
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.
?
What you pay up front if you don't use insurance.
$235.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$11.02 with UPMC Work Partners vs $5,290.32 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $11.02 | ↓ -92% |
| Focus Healthcare | Workers Compensation | $12.17 | ↓ -91% |
| United Healthcare | Commercial | $15.33 | ↓ -89% |
| Aetna | CHIP/Medicaid | $16.95 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $16.95 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison Kids | $17.72 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $21.42 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $22.85 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $24.06 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $26.26 | ↓ -81% |
| Highmark BCBS of PA | Managed Care - Social Mission | $48.12 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $48.12 | ↓ -66% |
| UPMC Health Plan | Commercial | $52.12 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Indemnity | $58.95 | ↓ -58% |
| Highmark BCBS of PA | Managed Care | $58.95 | ↓ -58% |
| UPMC Health Plan | CHIP | $82.25 | ↓ -42% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $86.95 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $86.95 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $86.95 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $86.95 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $86.95 | ↓ -38% |
| Aetna of PA | Medicare | $90.43 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $91.30 | ↓ -35% |
| Highmark Wholecare (prev Gateway) | Medicare | $93.91 | ↓ -33% |
| AmeriHealth Caritas | Medicare | $93.91 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $95.64 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $102.60 | ↓ -27% |
| Cigna | Commercial | $164.50 | ↑ +17% |
| Horizon Health Plan | Commercial | $164.50 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $176.25 | ↑ +25% |
| InterGroup | Commercial | $188.00 | ↑ +33% |
| Health Coalition Partners | PPO | $188.00 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $223.25 | ↑ +58% |
| Cigna | Medicare | $5,290.32 | ↑ +3652% |
Visitor-reported prices
Comments
5' nucleotidase - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $136.80 | $11.02 – $182.40 |
| UPMC Bedford | Everett | $123.00 | $4.02 – $184.50 |
| UPMC Carlisle | Carlisle | $56.40 | $11.04 – $79.90 |
| UPMC Community Osteopathic | Harrisburg | $56.40 | $11.04 – $79.90 |
| UPMC East | Monroeville | $166.20 | $11.02 – $221.60 |
| UPMC Hamot | Erie | $119.40 | $11.02 – $21.56 |
| UPMC Northwest | Seneca | $58.80 | $10.11 – $17.72 |
| UPMC Hanover | Hanover | $56.40 | $11.04 – $20.99 |