Biopsy muscle percutaneous needle at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$2,082.00
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.
$3,470.00
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.
$62.03 with UPMC Health Plan vs $36,491.95 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 | $62.03 | ↓ -97% |
| Aetna | CHIP/Medicaid | $62.03 | ↓ -97% |
| United Healthcare Community Plan for Families | Unison Kids | $64.85 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $78.38 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $83.63 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $88.03 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $96.10 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $309.58 | ↓ -85% |
| Focus Healthcare | Workers Compensation | $341.98 | ↓ -84% |
| UPMC Health Plan | CHIP | $567.35 | ↓ -73% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $599.77 | ↓ -71% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $599.77 | ↓ -71% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $599.77 | ↓ -71% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $599.77 | ↓ -71% |
| UPMC Health Plan | Managed Medicare | $599.77 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicare | $616.79 | ↓ -70% |
| Aetna of PA | Medicare | $623.76 | ↓ -70% |
| United Healthcare | Unison Advantage Non Special Needs | $629.76 | ↓ -70% |
| AmeriHealth Caritas | Medicare | $647.75 | ↓ -69% |
| United Healthcare | Unison Advantage Special Needs | $659.75 | ↓ -68% |
| UPMC Health Plan | Partners/Select | $707.73 | ↓ -66% |
| United Healthcare | Commercial | $794.13 | ↓ -62% |
| Highmark BCBS of PA | Managed Care - Social Mission | $929.02 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $929.02 | ↓ -55% |
| Horizon Health Plan | Commercial | $1,134.70 | ↓ -45% |
| Cigna | Commercial | $1,134.70 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,137.94 | ↓ -45% |
| Highmark BCBS of PA | Managed Care | $1,137.94 | ↓ -45% |
| Multiplan | Auto/PPO/Worker's Compensation | $1,215.75 | ↓ -42% |
| UPMC Health Plan | Commercial | $1,261.89 | ↓ -39% |
| Health Coalition Partners | PPO | $1,296.80 | ↓ -38% |
| InterGroup | Commercial | $1,296.80 | ↓ -38% |
| Focus Healthcare | Disability/PPO/Auto | $1,539.95 | ↓ -26% |
| Cigna | Medicare | $36,491.95 | ↑ +1653% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy muscle percutaneous needle at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,452.40 | $56.39 – $4,603.20 |
| UPMC Bedford | Everett | $3,754.80 | $59.21 – $5,632.20 |
| UPMC Carlisle | Carlisle | $2,461.20 | $71.62 – $3,486.70 |
| UPMC Community Osteopathic | Harrisburg | $2,461.20 | $76.13 – $3,486.70 |
| UPMC East | Monroeville | $1,704.60 | $62.03 – $2,272.80 |
| UPMC Hamot | Erie | $2,312.40 | $62.03 – $2,246.66 |
| UPMC Northwest | Seneca | $1,891.20 | $62.03 – $1,621.93 |
| UPMC Hanover | Hanover | $2,461.20 | $71.62 – $2,476.51 |