Arthrp ntrcrp/crp/mtcr ntrps at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$3,262.20
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.
$5,437.00
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.
$484.00 with UPMC Health Plan vs $122,397.74 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 | $484.00 | ↓ -85% |
| Aetna | CHIP/Medicaid | $484.00 | ↓ -85% |
| United Healthcare Community Plan for Families | Unison Kids | $506.00 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $611.56 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $652.52 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $686.88 | ↓ -79% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $749.85 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $1,929.94 | ↓ -41% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2,011.69 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $2,011.69 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $2,011.69 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $2,011.69 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $2,011.69 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,068.78 | ↓ -37% |
| Aetna of PA | Medicare | $2,092.16 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $2,112.27 | ↓ -35% |
| Focus Healthcare | Workers Compensation | $2,131.91 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $2,172.63 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $2,212.86 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $2,373.79 | ↓ -27% |
| United Healthcare | Commercial | $2,663.59 | ↓ -18% |
| UPMC Health Plan | Commercial | $2,876.90 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,524.70 | ↑ +8% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,524.70 | ↑ +8% |
| Cigna | Commercial | $3,805.90 | ↑ +17% |
| Horizon Health Plan | Commercial | $3,805.90 | ↑ +17% |
| UPMC Health Plan | CHIP | $3,906.84 | ↑ +20% |
| Multiplan | Auto/PPO/Worker's Compensation | $4,077.75 | ↑ +25% |
| Highmark BCBS of PA | Managed Care | $4,317.35 | ↑ +32% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,317.35 | ↑ +32% |
| InterGroup | Commercial | $4,349.60 | ↑ +33% |
| Health Coalition Partners | PPO | $4,349.60 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $5,165.15 | ↑ +58% |
| Cigna | Medicare | $122,397.74 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Arthrp ntrcrp/crp/mtcr ntrps at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,521.00 | $462.00 – $2,028.00 |
| Uniontown Hospital | Uniontown | $4,581.50 | $3,171.41 – $7,389.39 |
| UPMC Altoona | Altoona | not published | $440.00 – $3,340.82 |
| UPMC Carlisle | Carlisle | not published | $558.80 – $4,966.18 |
| UPMC Community Osteopathic | Harrisburg | not published | $594.00 – $11,127.90 |
| UPMC East | Monroeville | not published | $484.00 – $3,402.68 |
| UPMC Hamot | Erie | not published | $484.00 – $4,499.05 |
| UPMC Lititz | Lititz | not published | $558.80 – $4,986.11 |