Abdominal and Pelvic Blood Vessel Ultrasound (complete) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$1,382.40
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.
$2,304.00
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.
$200.69 with UPMC Health Plan vs $15,803.42 with Cigna — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $200.69 | ↓ -85% |
| Aetna | CHIP/Medicaid | $200.69 | ↓ -85% |
| United Healthcare Community Plan for Families | Unison Kids | $209.82 | ↓ -85% |
| UPMC Health Plan | CHIP | $245.70 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $253.59 | ↓ -82% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $259.74 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $259.74 | ↓ -81% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $259.74 | ↓ -81% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $259.74 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $259.74 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $267.11 | ↓ -81% |
| Aetna of PA | Medicare | $270.13 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $270.57 | ↓ -80% |
| United Healthcare | Unison Advantage Non Special Needs | $272.73 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $280.52 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $284.82 | ↓ -79% |
| United Healthcare | Unison Advantage Special Needs | $285.71 | ↓ -79% |
| UPMC Health Plan | Partners/Select | $306.49 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $310.93 | ↓ -78% |
| UPMC Health Plan | Commercial | $477.32 | ↓ -65% |
| Cigna | Commercial | $491.40 | ↓ -64% |
| Horizon Health Plan | Commercial | $491.40 | ↓ -64% |
| Multiplan | Auto/PPO/Worker's Compensation | $526.50 | ↓ -62% |
| UPMC Work Partners | Workers Comp | $537.16 | ↓ -61% |
| Health Coalition Partners | PPO | $561.60 | ↓ -59% |
| InterGroup | Commercial | $561.60 | ↓ -59% |
| Focus Healthcare | Workers Compensation | $593.38 | ↓ -57% |
| Focus Healthcare | Disability/PPO/Auto | $666.90 | ↓ -52% |
| Highmark BCBS of PA | Managed Care - Social Mission | $864.97 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $864.97 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $1,059.49 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,059.49 | ↓ -23% |
| Cigna | Medicare | $15,803.42 | ↑ +1043% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal and Pelvic Blood Vessel Ultrasound (complete) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $928.20 | $119.34 – $1,237.60 |
| UPMC Bedford | Everett | $1,379.40 | $83.15 – $2,069.10 |
| UPMC Carlisle | Carlisle | $819.60 | $156.34 – $1,161.10 |
| UPMC Cole | Coudersport | $658.20 | $191.57 – $877.60 |
| UPMC Community Osteopathic | Harrisburg | $819.60 | $41.40 – $648.20 |
| UPMC East | Monroeville | $1,066.80 | $200.69 – $1,422.40 |
| UPMC Hamot | Erie | $1,100.40 | $141.56 – $587.31 |
| UPMC Northwest | Seneca | $1,210.80 | $200.69 – $544.47 |