healthcosts.net
Ankle X-ray at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$202.80
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.
$338.00
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.
$19.95 with UPMC Health Plan vs $1,283.18 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 | $19.95 | ↓ -90% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $21.09 | ↓ -90% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $21.09 | ↓ -90% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $21.09 | ↓ -90% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $21.09 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $21.09 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $21.69 | ↓ -89% |
| Aetna of PA | Medicare | $21.93 | ↓ -89% |
| United Healthcare | Unison Advantage Non Special Needs | $22.14 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $22.78 | ↓ -89% |
| United Healthcare | Unison Advantage Special Needs | $23.20 | ↓ -89% |
| UPMC Health Plan | Partners/Select | $24.89 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $31.35 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $31.35 | ↓ -85% |
| Cigna | Commercial | $39.90 | ↓ -80% |
| Horizon Health Plan | Commercial | $39.90 | ↓ -80% |
| Multiplan | Auto/PPO/Worker's Compensation | $42.75 | ↓ -79% |
| Health Coalition Partners | PPO | $45.60 | ↓ -78% |
| InterGroup | Commercial | $45.60 | ↓ -78% |
| Focus Healthcare | Disability/PPO/Auto | $54.15 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $68.14 | ↓ -66% |
| UPMC Health Plan | Commercial | $69.65 | ↓ -66% |
| Focus Healthcare | Workers Compensation | $75.27 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $117.31 | ↓ -42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $117.31 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Indemnity | $143.69 | ↓ -29% |
| Highmark BCBS of PA | Managed Care | $143.69 | ↓ -29% |
| United Healthcare | Commercial | $153.34 | ↓ -24% |
| Cigna | Medicare | $1,283.18 | ↑ +533% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ankle X-ray at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $436.20 | $26.02 – $581.60 |
| UPMC Passavant-McCandless | Pittsburgh | $419.40 | $26.25 – $594.15 |
| UPMC Hamot | Erie | $325.20 | $20.23 – $379.40 |
| UPMC Carlisle | Carlisle | $188.40 | $24.54 – $419.44 |
| UPMC Altoona | Altoona | $180.60 | $33.29 – $240.80 |
| UPMC Bedford | Everett | $108.00 | $26.38 – $162.00 |
| UPMC Cole | Coudersport | $140.40 | $33.86 – $187.20 |
| UPMC Community Osteopathic | Harrisburg | $188.40 | $24.54 – $266.90 |