Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at UPMC Kane

4372 Route 6, Kane, PA · UPMC · · NPI 146763537

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$9.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$15.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.04 with PA Health & Wellness vs $337.68 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 →

Payer
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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
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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
PA Health & Wellness Community Health Choices/PA Medicaid HMO $0.04 ↓ -100%
Highmark Wholecare (prev Gateway) Medicaid $0.04 ↓ -100%
Geisinger Medicaid/CHIP $0.04 ↓ -100%
UPMC Health Plan Commercial $0.05 ↓ -99%
United Healthcare Commercial $0.08 ↓ -99%
Highmark BCBS of PA Commercial - Indemnity $0.13 ↓ -99%
Highmark BCBS of PA Commercial - Social Mission Indemnity $0.13 ↓ -99%
Highmark BCBS of PA Managed Care - Social Mission $0.13 ↓ -99%
Highmark BCBS of PA Managed Care $0.13 ↓ -99%
UPMC Health Plan CHIP $5.25 ↓ -42%
Highmark BCBS of PA Together Blue Medicare Advantage $5.55 ↓ -38%
Highmark BCBS of PA Community Blue Medicare Advantage/Complete Blue Medicare Advantage $5.55 ↓ -38%
Highmark BCBS of PA Security Blue Medicare Advantage $5.55 ↓ -38%
Highmark BCBS of PA Freedom Blue Medicare Advantage $5.55 ↓ -38%
UPMC Health Plan Managed Medicare $5.55 ↓ -38%
Highmark Wholecare (prev Gateway) Medicare $5.71 ↓ -37%
Aetna of PA Medicare $5.77 ↓ -36%
United Healthcare Unison Advantage Non Special Needs $5.83 ↓ -35%
AmeriHealth Caritas Medicare $5.99 ↓ -33%
United Healthcare Unison Advantage Special Needs $6.11 ↓ -32%
UPMC Health Plan Partners/Select $6.55 ↓ -27%
UPMC Work Partners Workers Comp $7.96 ↓ -12%
Focus Healthcare Workers Compensation $8.79 ↓ -2%
Cigna Commercial $10.50 ↑ +17%
Horizon Health Plan Commercial $10.50 ↑ +17%
Multiplan Auto/PPO/Worker's Compensation $11.25 ↑ +25%
Health Coalition Partners PPO $12.00 ↑ +33%
InterGroup Commercial $12.00 ↑ +33%
Focus Healthcare Disability/PPO/Auto $14.25 ↑ +58%
Cigna Medicare $337.68 ↑ +3652%

Visitor-reported prices

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Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $435.60 $0.02 – $5.60
UPMC Bedford Everett $315.00 $0.02 – $4.50
UPMC Cole Coudersport $4.20 $0.04 – $5.60
UPMC Northwest Seneca $427.20 $0.02 – $3.62
UPMC Horizon-Greenville Greenville $370.80 $0.02 – $3.55
UPMC Mercy Pittsburgh $370.80 $0.02 – $1.39
UPMC Muncy Muncy $74.40 $0.04 – $0.04
UPMC Passavant-McCandless Pittsburgh $427.20 $0.02 – $1.41

All Pennsylvania hospitals for this procedure →