Cath council tip 16fr 5cc at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$9.00
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.
$15.00
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.
$5.25 with UPMC Health Plan vs $337.68 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 | $5.25 | ↓ -42% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $5.55 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $5.55 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $5.55 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $5.55 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $5.55 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $5.71 | ↓ -37% |
| Aetna of PA | Medicare | $5.77 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $5.83 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $5.99 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $6.11 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $6.55 | ↓ -27% |
| United Healthcare | Commercial | $7.35 | ↓ -18% |
| Geisinger | Medicaid/CHIP | $8.25 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $8.25 | ↓ -8% |
| Horizon Health Plan | Commercial | $10.50 | ↑ +17% |
| Cigna | Commercial | $10.50 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $11.25 | ↑ +25% |
| InterGroup | Commercial | $12.00 | ↑ +33% |
| Health Coalition Partners | PPO | $12.00 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $14.25 | ↑ +58% |
| UPMC Work Partners | Workers Comp | $31.77 | ↑ +253% |
| Focus Healthcare | Workers Compensation | $35.09 | ↑ +290% |
| UPMC Health Plan | Commercial | $56.08 | ↑ +523% |
| Highmark BCBS of PA | Managed Care - Social Mission | $78.12 | ↑ +768% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $78.12 | ↑ +768% |
| Highmark BCBS of PA | Commercial - Indemnity | $95.69 | ↑ +963% |
| Highmark BCBS of PA | Managed Care | $95.69 | ↑ +963% |
| Cigna | Medicare | $337.68 | ↑ +3652% |
Visitor-reported prices
Comments
Cath council tip 16fr 5cc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $40.80 | $2.47 – $76.16 |
| UPMC Bedford | Everett | $27.00 | $2.85 – $76.16 |
| UPMC East | Monroeville | $138.60 | $2.00 – $76.16 |
| UPMC Northwest | Seneca | $130.20 | $31.77 – $92.16 |
| UPMC Horizon-Greenville | Greenville | $75.00 | $31.77 – $76.16 |
| UPMC Jameson | New Castle | $75.00 | $11.66 – $76.16 |
| UPMC Magee | Pittsburgh | $155.40 | $12.83 – $76.16 |
| UPMC McKeesport | Mckeesport | $63.60 | $12.83 – $76.16 |