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Carotid Artery Ultrasound (Duplex) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$1,056.60
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.
$1,761.00
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.
$106.05 with UPMC Health Plan vs $6,821.14 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 | CHIP | $106.05 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $112.11 | ↓ -89% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $112.11 | ↓ -89% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $112.11 | ↓ -89% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $112.11 | ↓ -89% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $112.11 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $115.29 | ↓ -89% |
| Aetna of PA | Medicare | $116.59 | ↓ -89% |
| United Healthcare | Unison Advantage Non Special Needs | $117.72 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $121.08 | ↓ -89% |
| United Healthcare | Unison Advantage Special Needs | $123.32 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $132.29 | ↓ -87% |
| Aetna | CHIP/Medicaid | $162.65 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $162.65 | ↓ -85% |
| United Healthcare Community Plan for Families | Unison Kids | $170.04 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $205.51 | ↓ -81% |
| Horizon Health Plan | Commercial | $212.10 | ↓ -80% |
| Cigna | Commercial | $212.10 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $219.28 | ↓ -79% |
| Multiplan | Auto/PPO/Worker's Compensation | $227.25 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $230.82 | ↓ -78% |
| Health Coalition Partners | PPO | $242.40 | ↓ -77% |
| InterGroup | Commercial | $242.40 | ↓ -77% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $251.98 | ↓ -76% |
| Focus Healthcare | Disability/PPO/Auto | $287.85 | ↓ -73% |
| UPMC Health Plan | Commercial | $371.38 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $549.31 | ↓ -48% |
| Focus Healthcare | Workers Compensation | $606.79 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $627.55 | ↓ -41% |
| Highmark BCBS of PA | Managed Care - Social Mission | $627.55 | ↓ -41% |
| Highmark BCBS of PA | Commercial - Indemnity | $768.67 | ↓ -27% |
| Highmark BCBS of PA | Managed Care | $768.67 | ↓ -27% |
| Cigna | Medicare | $6,821.14 | ↑ +546% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Carotid Artery Ultrasound (Duplex) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $831.00 | $162.09 – $1,108.00 |
| UPMC Passavant-McCandless | Pittsburgh | $2,764.20 | $162.09 – $3,915.95 |
| UPMC Hamot | Erie | $1,007.40 | $94.90 – $1,175.30 |
| UPMC Lititz | Lititz | $788.40 | $156.34 – $1,116.90 |
| UPMC Carlisle | Carlisle | $788.40 | $156.34 – $1,116.90 |
| UPMC Altoona | Altoona | $1,053.00 | $119.34 – $1,404.00 |
| UPMC Bedford | Everett | $499.20 | $83.15 – $748.80 |
| UPMC Cole | Coudersport | $481.20 | $155.25 – $641.60 |