Benign lesion paring 4+ at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$141.00
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.
$235.00
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.
$42.83 with Aetna vs $5,290.32 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 | $42.83 | ↓ -70% |
| UPMC Health Plan | Managed Medicaid | $42.83 | ↓ -70% |
| United Healthcare Community Plan for Families | Unison Kids | $44.78 | ↓ -68% |
| Geisinger | Medicaid/CHIP | $54.12 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicaid | $57.75 | ↓ -59% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $60.79 | ↓ -57% |
| UPMC Work Partners | Workers Comp | $62.29 | ↓ -56% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $66.36 | ↓ -53% |
| Focus Healthcare | Workers Compensation | $68.81 | ↓ -51% |
| UPMC Health Plan | CHIP | $82.25 | ↓ -42% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $86.95 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $86.95 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $86.95 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $86.95 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $86.95 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $89.42 | ↓ -37% |
| Aetna of PA | Medicare | $90.43 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $91.30 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $93.91 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $95.64 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $102.60 | ↓ -27% |
| Cigna | Commercial | $164.50 | ↑ +17% |
| Horizon Health Plan | Commercial | $164.50 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $176.25 | ↑ +25% |
| InterGroup | Commercial | $188.00 | ↑ +33% |
| Health Coalition Partners | PPO | $188.00 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $223.25 | ↑ +58% |
| UPMC Health Plan | Commercial | $309.65 | ↑ +120% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $373.29 | ↑ +165% |
| Highmark BCBS of PA | Managed Care - Social Mission | $373.29 | ↑ +165% |
| Highmark BCBS of PA | Commercial - Indemnity | $457.24 | ↑ +224% |
| Highmark BCBS of PA | Managed Care | $457.24 | ↑ +224% |
| Cigna | Medicare | $5,290.32 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Benign lesion paring 4+ at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $671.40 | $38.94 – $895.20 |
| UPMC Carlisle | Carlisle | $435.60 | $49.45 – $1,016.56 |
| UPMC Cole | Coudersport | $210.60 | $13.58 – $2,094.25 |
| UPMC Community Osteopathic | Harrisburg | $435.60 | $49.45 – $1,016.56 |
| UPMC Hanover | Hanover | $435.60 | $49.45 – $1,016.56 |
| UPMC Jameson | New Castle | $479.40 | $42.83 – $892.40 |
| UPMC Lititz | Lititz | $435.60 | $49.45 – $1,016.56 |
| UPMC McKeesport | Mckeesport | $436.20 | $42.83 – $208.38 |