healthcosts.net
Abdominal MRI (with contrast) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$2,653.80
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.
$4,423.00
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.
$108.85 with UPMC Health Plan vs $7,001.23 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 | CHIP | $108.85 | ↓ -96% |
| UPMC Health Plan | Managed Medicare | $115.07 | ↓ -96% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $115.07 | ↓ -96% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $115.07 | ↓ -96% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $115.07 | ↓ -96% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $115.07 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $118.34 | ↓ -96% |
| Aetna of PA | Medicare | $119.67 | ↓ -95% |
| United Healthcare | Unison Advantage Non Special Needs | $120.82 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $124.28 | ↓ -95% |
| United Healthcare | Unison Advantage Special Needs | $126.58 | ↓ -95% |
| UPMC Health Plan | Partners/Select | $135.78 | ↓ -95% |
| Horizon Health Plan | Commercial | $217.70 | ↓ -92% |
| Cigna | Commercial | $217.70 | ↓ -92% |
| Multiplan | Auto/PPO/Worker's Compensation | $233.25 | ↓ -91% |
| Health Coalition Partners | PPO | $248.80 | ↓ -91% |
| InterGroup | Commercial | $248.80 | ↓ -91% |
| Focus Healthcare | Disability/PPO/Auto | $295.45 | ↓ -89% |
| Aetna | CHIP/Medicaid | $431.83 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $431.83 | ↓ -84% |
| United Healthcare Community Plan for Families | Unison Kids | $451.46 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $545.63 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $582.18 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $612.84 | ↓ -77% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $669.02 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $961.86 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $961.86 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $1,125.45 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,178.17 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $1,178.17 | ↓ -56% |
| Focus Healthcare | Workers Compensation | $1,243.23 | ↓ -53% |
| United Healthcare | Commercial | $1,357.00 | ↓ -49% |
| UPMC Health Plan | Commercial | $2,134.06 | ↓ -20% |
| Cigna | Medicare | $7,001.23 | ↑ +164% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal MRI (with contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $4,621.20 | $316.41 – $6,546.70 |
| UPMC East | Monroeville | $4,742.40 | $341.40 – $6,323.20 |
| UPMC Hamot | Erie | $2,290.20 | $213.96 – $2,671.90 |
| UPMC Horizon-Greenville | Greenville | $4,192.80 | $304.83 – $5,939.80 |
| UPMC McKeesport | Mckeesport | $4,936.20 | $315.59 – $6,992.95 |
| UPMC Carlisle | Carlisle | $2,713.80 | $338.22 – $3,844.55 |
| UPMC Altoona | Altoona | $1,699.20 | $312.20 – $2,265.60 |
| UPMC Cole | Coudersport | $1,393.80 | $377.41 – $1,858.40 |