Cath w/drainage 2-way latex at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$31.80
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.
?
What you pay up front if you don't use insurance.
$53.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5.95 with UPMC Health Plan vs $382.70 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $5.95 | ↓ -81% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $6.29 | ↓ -80% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $6.29 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $6.29 | ↓ -80% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $6.29 | ↓ -80% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $6.29 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $6.47 | ↓ -80% |
| Aetna of PA | Medicare | $6.54 | ↓ -79% |
| United Healthcare | Unison Advantage Non Special Needs | $6.60 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $6.79 | ↓ -79% |
| United Healthcare | Unison Advantage Special Needs | $6.92 | ↓ -78% |
| UPMC Health Plan | Partners/Select | $7.42 | ↓ -77% |
| United Healthcare | Commercial | $8.33 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $9.35 | ↓ -71% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $9.35 | ↓ -71% |
| Horizon Health Plan | Commercial | $11.90 | ↓ -63% |
| Cigna | Commercial | $11.90 | ↓ -63% |
| Multiplan | Auto/PPO/Worker's Compensation | $12.75 | ↓ -60% |
| InterGroup | Commercial | $13.60 | ↓ -57% |
| Health Coalition Partners | PPO | $13.60 | ↓ -57% |
| Focus Healthcare | Disability/PPO/Auto | $16.15 | ↓ -49% |
| UPMC Work Partners | Workers Comp | $55.99 | ↑ +76% |
| Focus Healthcare | Workers Compensation | $61.85 | ↑ +94% |
| UPMC Health Plan | Commercial | $98.89 | ↑ +211% |
| Highmark BCBS of PA | Managed Care - Social Mission | $137.72 | ↑ +333% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $137.72 | ↑ +333% |
| Highmark BCBS of PA | Commercial - Indemnity | $168.70 | ↑ +431% |
| Highmark BCBS of PA | Managed Care | $168.70 | ↑ +431% |
| Cigna | Medicare | $382.70 | ↑ +1103% |
Visitor-reported prices
Comments
Cath w/drainage 2-way latex at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $70.80 | $5.50 – $134.29 |
| UPMC Bedford | Everett | $79.80 | $2.50 – $134.29 |
| UPMC East | Monroeville | $202.80 | $2.50 – $134.29 |
| UPMC Hamot | Erie | $177.00 | $39.22 – $55.99 |
| UPMC Northwest | Seneca | $39.60 | $55.99 – $162.50 |
| UPMC Horizon-Greenville | Greenville | $73.80 | $55.99 – $134.29 |
| UPMC Jameson | New Castle | $55.80 | $16.87 – $134.29 |
| UPMC Magee | Pittsburgh | $111.60 | $22.61 – $134.29 |