Ana ds-dna at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$208.20
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.
?
What you pay up front if you don't use insurance.
$347.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$11.96 with UPMC Work Partners vs $7,811.66 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Work Partners | Workers Comp | $11.96 | ↓ -94% |
| Focus Healthcare | Workers Compensation | $13.21 | ↓ -94% |
| United Healthcare | Commercial | $16.65 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $18.40 | ↓ -91% |
| Aetna | CHIP/Medicaid | $18.40 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison Kids | $19.24 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $23.25 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $24.81 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $26.12 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $28.51 | ↓ -86% |
| Highmark BCBS of PA | Managed Care - Social Mission | $52.27 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $52.27 | ↓ -75% |
| UPMC Health Plan | Commercial | $56.16 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Indemnity | $64.02 | ↓ -69% |
| Highmark BCBS of PA | Managed Care | $64.02 | ↓ -69% |
| UPMC Health Plan | CHIP | $121.45 | ↓ -42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $128.39 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $128.39 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $128.39 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $128.39 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $128.39 | ↓ -38% |
| Aetna of PA | Medicare | $133.53 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $134.81 | ↓ -35% |
| Highmark Wholecare (prev Gateway) | Medicare | $138.66 | ↓ -33% |
| AmeriHealth Caritas | Medicare | $138.66 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $141.23 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $151.50 | ↓ -27% |
| Cigna | Commercial | $242.90 | ↑ +17% |
| Horizon Health Plan | Commercial | $242.90 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $260.25 | ↑ +25% |
| Health Coalition Partners | PPO | $277.60 | ↑ +33% |
| InterGroup | Commercial | $277.60 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $329.65 | ↑ +58% |
| Cigna | Medicare | $7,811.66 | ↑ +3652% |
Visitor-reported prices
Comments
Ana ds-dna at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $44.40 | $10.14 – $62.90 |
| UPMC Cole | Coudersport | $84.00 | $7.87 – $112.00 |
| UPMC Community Osteopathic | Harrisburg | $44.40 | $11.99 – $76.27 |
| UPMC Hanover | Hanover | $44.40 | $11.99 – $22.79 |
| UPMC Lititz | Lititz | $44.40 | $11.99 – $22.79 |
| UPMC Magee | Pittsburgh | $277.80 | $11.33 – $28.51 |
| UPMC Memorial | York | $44.40 | $12.52 – $87.60 |
| UPMC Muncy | Muncy | $374.40 | $11.96 – $28.51 |