Bladder Catheter Insertion (simple) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$328.80
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.
$548.00
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.
$30.26 with Aetna vs $3,106.66 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 | $30.26 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $30.26 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison Kids | $31.64 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $38.24 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $40.80 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $42.95 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $46.88 | ↓ -86% |
| UPMC Health Plan | CHIP | $48.30 | ↓ -85% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $51.06 | ↓ -84% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $51.06 | ↓ -84% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $51.06 | ↓ -84% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $51.06 | ↓ -84% |
| UPMC Health Plan | Managed Medicare | $51.06 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $52.51 | ↓ -84% |
| Aetna of PA | Medicare | $53.10 | ↓ -84% |
| United Healthcare | Unison Advantage Non Special Needs | $53.61 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $55.14 | ↓ -83% |
| United Healthcare | Unison Advantage Special Needs | $56.17 | ↓ -83% |
| UPMC Health Plan | Partners/Select | $60.25 | ↓ -82% |
| Cigna | Commercial | $96.60 | ↓ -71% |
| Horizon Health Plan | Commercial | $96.60 | ↓ -71% |
| Multiplan | Auto/PPO/Worker's Compensation | $103.50 | ↓ -69% |
| InterGroup | Commercial | $110.40 | ↓ -66% |
| Health Coalition Partners | PPO | $110.40 | ↓ -66% |
| Focus Healthcare | Disability/PPO/Auto | $131.10 | ↓ -60% |
| UPMC Health Plan | Commercial | $137.69 | ↓ -58% |
| United Healthcare | Commercial | $151.38 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $167.61 | ↓ -49% |
| Focus Healthcare | Workers Compensation | $185.15 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $255.77 | ↓ -22% |
| Highmark BCBS of PA | Managed Care - Social Mission | $255.77 | ↓ -22% |
| Highmark BCBS of PA | Managed Care | $313.28 | ↓ -5% |
| Highmark BCBS of PA | Commercial - Indemnity | $313.28 | ↓ -5% |
| Cigna | Medicare | $3,106.66 | ↑ +845% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Bladder Catheter Insertion (simple) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $347.40 | $27.51 – $463.20 |
| UPMC Bedford | Everett | $416.40 | $28.89 – $624.60 |
| UPMC Carlisle | Carlisle | $640.20 | $34.94 – $906.95 |
| UPMC Cole | Coudersport | $405.00 | $26.96 – $167.61 |
| UPMC Community Osteopathic | Harrisburg | $640.20 | $34.94 – $220.15 |
| UPMC East | Monroeville | $720.00 | $30.26 – $960.00 |
| UPMC Hamot | Erie | $717.00 | $30.26 – $178.73 |
| UPMC Northwest | Seneca | $538.20 | $30.26 – $167.61 |