(both sides) smear without diff wbc count at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$57.00
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.
$95.00
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.
$3.40 with UPMC Work Partners vs $1,981.06 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 | $3.40 | ↓ -94% |
| Focus Healthcare | Workers Compensation | $3.75 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $3.96 | ↓ -93% |
| Aetna | CHIP/Medicaid | $3.96 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison Kids | $4.14 | ↓ -93% |
| United Healthcare | Commercial | $4.73 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $5.00 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5.34 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5.62 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6.14 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $14.80 | ↓ -74% |
| Highmark BCBS of PA | Managed Care - Social Mission | $14.80 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Indemnity | $18.13 | ↓ -68% |
| Highmark BCBS of PA | Managed Care | $18.13 | ↓ -68% |
| UPMC Health Plan | Commercial | $19.63 | ↓ -66% |
| UPMC Health Plan | CHIP | $30.80 | ↓ -46% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $32.56 | ↓ -43% |
| UPMC Health Plan | Managed Medicare | $32.56 | ↓ -43% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $32.56 | ↓ -43% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $32.56 | ↓ -43% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $32.56 | ↓ -43% |
| Aetna of PA | Medicare | $33.86 | ↓ -41% |
| United Healthcare | Unison Advantage Non Special Needs | $34.19 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicare | $35.16 | ↓ -38% |
| AmeriHealth Caritas | Medicare | $35.16 | ↓ -38% |
| United Healthcare | Unison Advantage Special Needs | $35.82 | ↓ -37% |
| UPMC Health Plan | Partners/Select | $38.42 | ↓ -33% |
| Cigna | Commercial | $61.60 | ↑ +8% |
| Horizon Health Plan | Commercial | $61.60 | ↑ +8% |
| Multiplan | Auto/PPO/Worker's Compensation | $66.00 | ↑ +16% |
| Health Coalition Partners | PPO | $70.40 | ↑ +24% |
| InterGroup | Commercial | $70.40 | ↑ +24% |
| Focus Healthcare | Disability/PPO/Auto | $83.60 | ↑ +47% |
| Cigna | Medicare | $1,981.06 | ↑ +3376% |
Visitor-reported prices
Comments
(both sides) smear without diff wbc count at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $21.00 | $3.21 – $6.72 |
| UPMC Muncy | Muncy | $121.80 | $3.40 – $6.14 |
| UPMC Wellsboro | Wellsboro | $147.20 | $3.40 – $6.14 |
| UPMC Williamsport | Williamsport | $121.80 | $3.40 – $4.61 |
| WellSpan Chambersburg Hospital | Chambersburg | $18.40 | $3.43 – $16.56 |
| WellSpan Ephrata Community Hospital | Ephrata | $20.00 | $3.46 – $15.57 |
| WellSpan Good Samaritan Hospital | Lebanon | $27.20 | $3.43 – $15.57 |
| WellSpan Gettysburg Hospital | Gettysburg | $17.60 | $3.43 – $14.17 |