Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$418.80
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.
$698.00
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.
$19.80 with Aetna vs $7,496.50 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $19.80 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $19.80 | ↓ -95% |
| United Healthcare Community Plan for Families | Unison Kids | $20.70 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $25.02 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $26.69 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $28.10 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $30.68 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $99.74 | ↓ -76% |
| Focus Healthcare | Workers Compensation | $110.18 | ↓ -74% |
| UPMC Health Plan | CHIP | $116.55 | ↓ -72% |
| UPMC Health Plan | Commercial | $121.81 | ↓ -71% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $123.21 | ↓ -71% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $123.21 | ↓ -71% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $123.21 | ↓ -71% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $123.21 | ↓ -71% |
| UPMC Health Plan | Managed Medicare | $123.21 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicare | $126.71 | ↓ -70% |
| Aetna of PA | Medicare | $128.14 | ↓ -69% |
| United Healthcare | Unison Advantage Non Special Needs | $129.37 | ↓ -69% |
| AmeriHealth Caritas | Medicare | $133.07 | ↓ -68% |
| United Healthcare | Unison Advantage Special Needs | $135.53 | ↓ -68% |
| UPMC Health Plan | Partners/Select | $145.39 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $221.76 | ↓ -47% |
| Highmark BCBS of PA | Managed Care - Social Mission | $221.76 | ↓ -47% |
| Cigna | Commercial | $233.10 | ↓ -44% |
| Horizon Health Plan | Commercial | $233.10 | ↓ -44% |
| Multiplan | Auto/PPO/Worker's Compensation | $249.75 | ↓ -40% |
| United Healthcare | Commercial | $252.79 | ↓ -40% |
| Health Coalition Partners | PPO | $266.40 | ↓ -36% |
| InterGroup | Commercial | $266.40 | ↓ -36% |
| Highmark BCBS of PA | Commercial - Indemnity | $271.63 | ↓ -35% |
| Highmark BCBS of PA | Managed Care | $271.63 | ↓ -35% |
| Focus Healthcare | Disability/PPO/Auto | $316.35 | ↓ -24% |
| Cigna | Medicare | $7,496.50 | ↑ +1690% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $158.40 | $18.00 – $211.20 |
| UPMC Bedford | Everett | $310.20 | $18.90 – $465.30 |
| UPMC Carlisle | Carlisle | $453.60 | $22.86 – $1,016.56 |
| UPMC Cole | Coudersport | $165.00 | $18.90 – $99.74 |
| UPMC Community Osteopathic | Harrisburg | $453.60 | $22.86 – $1,016.56 |
| UPMC East | Monroeville | $319.20 | $19.80 – $425.60 |
| UPMC Hamot | Erie | $281.40 | $19.80 – $409.31 |
| UPMC Hanover | Hanover | $453.60 | $22.86 – $1,016.56 |