Borrelia burgdorferi (lyme disease) antibody nonspecific at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$92.40
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.
$154.00
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.
$16.83 with UPMC Work Partners vs $3,196.70 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 Work Partners | Workers Comp | $16.83 | ↓ -82% |
| Focus Healthcare | Workers Compensation | $18.59 | ↓ -80% |
| United Healthcare | Commercial | $23.41 | ↓ -75% |
| Aetna | CHIP/Medicaid | $25.89 | ↓ -72% |
| UPMC Health Plan | Managed Medicaid | $25.89 | ↓ -72% |
| United Healthcare Community Plan for Families | Unison Kids | $27.07 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $32.72 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicaid | $34.91 | ↓ -62% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $36.75 | ↓ -60% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $40.12 | ↓ -57% |
| UPMC Health Plan | CHIP | $49.70 | ↓ -46% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $52.54 | ↓ -43% |
| UPMC Health Plan | Managed Medicare | $52.54 | ↓ -43% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $52.54 | ↓ -43% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $52.54 | ↓ -43% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $52.54 | ↓ -43% |
| Aetna of PA | Medicare | $54.64 | ↓ -41% |
| United Healthcare | Unison Advantage Non Special Needs | $55.17 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicare | $56.74 | ↓ -39% |
| AmeriHealth Caritas | Medicare | $56.74 | ↓ -39% |
| United Healthcare | Unison Advantage Special Needs | $57.79 | ↓ -37% |
| UPMC Health Plan | Partners/Select | $62.00 | ↓ -33% |
| UPMC Health Plan | Commercial | $63.18 | ↓ -32% |
| Highmark BCBS of PA | Managed Care - Social Mission | $73.50 | ↓ -20% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $73.50 | ↓ -20% |
| Highmark BCBS of PA | Commercial - Indemnity | $90.03 | ↓ -3% |
| Highmark BCBS of PA | Managed Care | $90.03 | ↓ -3% |
| Cigna | Commercial | $99.40 | ↑ +8% |
| Horizon Health Plan | Commercial | $99.40 | ↑ +8% |
| Multiplan | Auto/PPO/Worker's Compensation | $106.50 | ↑ +15% |
| InterGroup | Commercial | $113.60 | ↑ +23% |
| Health Coalition Partners | PPO | $113.60 | ↑ +23% |
| Focus Healthcare | Disability/PPO/Auto | $134.90 | ↑ +46% |
| Cigna | Medicare | $3,196.70 | ↑ +3360% |
Visitor-reported prices
Comments
Borrelia burgdorferi (lyme disease) antibody nonspecific at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $238.20 | $16.83 – $317.60 |
| UPMC Bedford | Everett | $91.20 | $6.14 – $136.80 |
| UPMC Carlisle | Carlisle | $94.80 | $16.86 – $134.30 |
| UPMC Cole | Coudersport | $80.40 | $11.07 – $107.20 |
| UPMC Community Osteopathic | Harrisburg | $94.80 | $16.86 – $134.30 |
| UPMC East | Monroeville | $253.80 | $16.83 – $338.40 |
| UPMC Hamot | Erie | $603.00 | $16.83 – $32.90 |
| UPMC Northwest | Seneca | $99.00 | $15.44 – $27.07 |