healthcosts.net
Abdominal MRI (without contrast) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$2,128.20
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.
$3,547.00
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.
$92.40 with UPMC Health Plan vs $5,943.17 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 | $92.40 | ↓ -96% |
| UPMC Health Plan | Managed Medicare | $97.68 | ↓ -95% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $97.68 | ↓ -95% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $97.68 | ↓ -95% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $97.68 | ↓ -95% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $97.68 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $100.45 | ↓ -95% |
| Aetna of PA | Medicare | $101.59 | ↓ -95% |
| United Healthcare | Unison Advantage Non Special Needs | $102.56 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $105.49 | ↓ -95% |
| United Healthcare | Unison Advantage Special Needs | $107.45 | ↓ -95% |
| UPMC Health Plan | Partners/Select | $115.26 | ↓ -95% |
| Horizon Health Plan | Commercial | $184.80 | ↓ -91% |
| Cigna | Commercial | $184.80 | ↓ -91% |
| Multiplan | Auto/PPO/Worker's Compensation | $198.00 | ↓ -91% |
| Health Coalition Partners | PPO | $211.20 | ↓ -90% |
| InterGroup | Commercial | $211.20 | ↓ -90% |
| Focus Healthcare | Disability/PPO/Auto | $250.80 | ↓ -88% |
| Aetna | CHIP/Medicaid | $369.83 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $369.83 | ↓ -83% |
| United Healthcare Community Plan for Families | Unison Kids | $386.64 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $467.30 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $498.60 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $524.86 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $553.96 | ↓ -74% |
| Highmark BCBS of PA | Managed Care - Social Mission | $553.96 | ↓ -74% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $572.97 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Indemnity | $678.54 | ↓ -68% |
| Highmark BCBS of PA | Managed Care | $678.54 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $1,141.28 | ↓ -46% |
| Focus Healthcare | Workers Compensation | $1,260.72 | ↓ -41% |
| UPMC Health Plan | Commercial | $1,345.07 | ↓ -37% |
| United Healthcare | Commercial | $1,357.00 | ↓ -36% |
| Cigna | Medicare | $5,943.17 | ↑ +179% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal MRI (without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,801.60 | $214.16 – $5,385.60 |
| UPMC East | Monroeville | $3,940.80 | $231.07 – $5,254.40 |
| UPMC Hamot | Erie | $2,404.80 | $180.32 – $2,805.60 |
| UPMC Carlisle | Carlisle | $1,656.00 | $228.92 – $2,346.00 |
| UPMC Bedford | Everett | $1,705.20 | $83.15 – $2,557.80 |
| UPMC Altoona | Altoona | $1,699.20 | $269.00 – $2,265.60 |
| UPMC Cole | Coudersport | $1,335.60 | $240.06 – $1,780.80 |
| UPMC Community Osteopathic | Harrisburg | $1,656.00 | $88.80 – $1,826.61 |