healthcosts.net
Abdominal Ultrasound (complete) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$528.00
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.
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What you pay up front if you don't use insurance.
$880.00
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.
$81.55 with UPMC Health Plan vs $5,245.30 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 | $81.55 | ↓ -85% |
| UPMC Health Plan | Managed Medicare | $86.21 | ↓ -84% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $86.21 | ↓ -84% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $86.21 | ↓ -84% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $86.21 | ↓ -84% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $86.21 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $88.66 | ↓ -83% |
| Aetna of PA | Medicare | $89.66 | ↓ -83% |
| United Healthcare | Unison Advantage Non Special Needs | $90.52 | ↓ -83% |
| AmeriHealth Caritas | Medicare | $93.11 | ↓ -82% |
| United Healthcare | Unison Advantage Special Needs | $94.83 | ↓ -82% |
| UPMC Health Plan | Partners/Select | $101.73 | ↓ -81% |
| Aetna | CHIP/Medicaid | $104.80 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $104.80 | ↓ -80% |
| United Healthcare Community Plan for Families | Unison Kids | $109.56 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $132.42 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $141.29 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $148.73 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $162.36 | ↓ -69% |
| Horizon Health Plan | Commercial | $163.10 | ↓ -69% |
| Cigna | Commercial | $163.10 | ↓ -69% |
| Multiplan | Auto/PPO/Worker's Compensation | $174.75 | ↓ -67% |
| Health Coalition Partners | PPO | $186.40 | ↓ -65% |
| InterGroup | Commercial | $186.40 | ↓ -65% |
| Focus Healthcare | Disability/PPO/Auto | $221.35 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $273.02 | ↓ -48% |
| Focus Healthcare | Workers Compensation | $301.60 | ↓ -43% |
| UPMC Health Plan | Commercial | $306.43 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $323.35 | ↓ -39% |
| Highmark BCBS of PA | Managed Care - Social Mission | $323.35 | ↓ -39% |
| Highmark BCBS of PA | Commercial - Indemnity | $396.07 | ↓ -25% |
| Highmark BCBS of PA | Managed Care | $396.07 | ↓ -25% |
| United Healthcare | Commercial | $431.11 | ↓ -18% |
| Cigna | Medicare | $5,245.30 | ↑ +893% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal Ultrasound (complete) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,085.60 | $94.21 – $2,954.60 |
| UPMC Altoona | Altoona | $607.20 | $57.50 – $809.60 |
| UPMC Bedford | Everett | $658.20 | $36.58 – $987.30 |
| UPMC Cole | Coudersport | $439.20 | $100.03 – $585.60 |
| UPMC East | Monroeville | $1,236.00 | $101.65 – $1,648.00 |
| UPMC Hamot | Erie | $651.00 | $93.32 – $759.50 |
| UPMC Carlisle | Carlisle | $394.20 | $41.92 – $285.72 |
| UPMC Community Osteopathic | Harrisburg | $394.20 | $61.20 – $416.14 |