Appl modality 1/> areas paraffin bath 97018 at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$90.60
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.
$151.00
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.
$6.60 with UPMC Health Plan vs $2,386.27 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 | Managed Medicaid | $6.60 | ↓ -93% |
| Aetna | CHIP/Medicaid | $6.60 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison Kids | $6.90 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $8.34 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $8.90 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $9.37 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $10.23 | ↓ -89% |
| Highmark BCBS of PA | Managed Care - Social Mission | $23.74 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $23.74 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Indemnity | $29.08 | ↓ -68% |
| Highmark BCBS of PA | Managed Care | $29.08 | ↓ -68% |
| UPMC Health Plan | CHIP | $37.10 | ↓ -59% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $39.22 | ↓ -57% |
| UPMC Health Plan | Managed Medicare | $39.22 | ↓ -57% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $39.22 | ↓ -57% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $39.22 | ↓ -57% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $39.22 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicare | $40.33 | ↓ -55% |
| Aetna of PA | Medicare | $40.79 | ↓ -55% |
| United Healthcare | Unison Advantage Non Special Needs | $41.18 | ↓ -55% |
| AmeriHealth Caritas | Medicare | $42.36 | ↓ -53% |
| UPMC Work Partners | Workers Comp | $42.53 | ↓ -53% |
| United Healthcare | Unison Advantage Special Needs | $43.14 | ↓ -52% |
| UPMC Health Plan | Partners/Select | $46.28 | ↓ -49% |
| Focus Healthcare | Workers Compensation | $46.98 | ↓ -48% |
| United Healthcare | Commercial | $51.93 | ↓ -43% |
| Cigna | Commercial | $74.20 | ↓ -18% |
| Horizon Health Plan | Commercial | $74.20 | ↓ -18% |
| Multiplan | Auto/PPO/Worker's Compensation | $79.50 | ↓ -12% |
| Health Coalition Partners | PPO | $84.80 | ↓ -6% |
| InterGroup | Commercial | $84.80 | ↓ -6% |
| Focus Healthcare | Disability/PPO/Auto | $100.70 | ↑ +11% |
| UPMC Health Plan | Commercial | $168.17 | ↑ +86% |
| Cigna | Medicare | $2,386.27 | ↑ +2534% |
Visitor-reported prices
Comments
Appl modality 1/> areas paraffin bath 97018 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $103.20 | $6.00 – $137.60 |
| UPMC Carlisle | Carlisle | $24.60 | $5.62 – $387.00 |
| UPMC Cole | Coudersport | $73.80 | $5.91 – $98.40 |
| UPMC Lititz | Lititz | $24.60 | $3.94 – $148.00 |
| UPMC Magee | Pittsburgh | $198.60 | $4.33 – $45.15 |
| UPMC Memorial | York | $24.60 | $3.94 – $148.00 |
| UPMC Mercy | Pittsburgh | $80.40 | $6.60 – $46.41 |
| UPMC Muncy | Muncy | $76.80 | $6.60 – $48.30 |