Appl modality 1/> areas vasopneumatic devices 97016 at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$71.40
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.
$119.00
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.
$14.54 with UPMC Health Plan vs $1,800.96 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 Health Plan | Managed Medicaid | $14.54 | ↓ -80% |
| Aetna | CHIP/Medicaid | $14.54 | ↓ -80% |
| United Healthcare Community Plan for Families | Unison Kids | $15.20 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $18.37 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicaid | $19.61 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $20.64 | ↓ -71% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $22.53 | ↓ -68% |
| UPMC Health Plan | CHIP | $28.00 | ↓ -61% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $29.60 | ↓ -59% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $29.60 | ↓ -59% |
| UPMC Health Plan | Managed Medicare | $29.60 | ↓ -59% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $29.60 | ↓ -59% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $29.60 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicare | $30.44 | ↓ -57% |
| Aetna of PA | Medicare | $30.78 | ↓ -57% |
| United Healthcare | Unison Advantage Non Special Needs | $31.08 | ↓ -56% |
| AmeriHealth Caritas | Medicare | $31.97 | ↓ -55% |
| United Healthcare | Unison Advantage Special Needs | $32.56 | ↓ -54% |
| UPMC Health Plan | Partners/Select | $34.93 | ↓ -51% |
| United Healthcare | Commercial | $39.19 | ↓ -45% |
| UPMC Work Partners | Workers Comp | $40.51 | ↓ -43% |
| Focus Healthcare | Workers Compensation | $44.74 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $49.50 | ↓ -31% |
| Highmark BCBS of PA | Managed Care - Social Mission | $49.50 | ↓ -31% |
| Cigna | Commercial | $56.00 | ↓ -22% |
| Horizon Health Plan | Commercial | $56.00 | ↓ -22% |
| Multiplan | Auto/PPO/Worker's Compensation | $60.00 | ↓ -16% |
| Highmark BCBS of PA | Commercial - Indemnity | $60.64 | ↓ -15% |
| Highmark BCBS of PA | Managed Care | $60.64 | ↓ -15% |
| Health Coalition Partners | PPO | $64.00 | ↓ -10% |
| InterGroup | Commercial | $64.00 | ↓ -10% |
| Focus Healthcare | Disability/PPO/Auto | $76.00 | ↑ +6% |
| UPMC Health Plan | Commercial | $168.17 | ↑ +136% |
| Cigna | Medicare | $1,800.96 | ↑ +2422% |
Visitor-reported prices
Comments
Appl modality 1/> areas vasopneumatic devices 97016 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $49.80 | $11.37 – $387.00 |
| UPMC Cole | Coudersport | $94.80 | $12.31 – $126.40 |
| UPMC Community Osteopathic | Harrisburg | $49.80 | $16.60 – $126.46 |
| UPMC Hanover | Hanover | $49.80 | $16.79 – $148.00 |
| UPMC Mercy | Pittsburgh | $141.60 | $14.54 – $44.29 |
| UPMC Muncy | Muncy | $76.80 | $14.54 – $46.84 |
| UPMC Somerset | Somerset | $49.80 | $14.54 – $44.74 |
| UPMC Wellsboro | Wellsboro | $92.80 | $14.54 – $35.33 |