Cefoxitin 1 gram intravenous solution at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$30.60
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.
$51.00
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.
$4.78 with PA Health & Wellness vs $562.80 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 |
|---|---|---|---|
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4.78 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $4.78 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $4.78 | ↓ -84% |
| UPMC Health Plan | Commercial | $5.88 | ↓ -81% |
| United Healthcare | Commercial | $7.34 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Indemnity | $7.97 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $7.97 | ↓ -74% |
| Highmark BCBS of PA | Managed Care | $7.97 | ↓ -74% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7.97 | ↓ -74% |
| UPMC Health Plan | CHIP | $8.75 | ↓ -71% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $9.25 | ↓ -70% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $9.25 | ↓ -70% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $9.25 | ↓ -70% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $9.25 | ↓ -70% |
| UPMC Health Plan | Managed Medicare | $9.25 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $9.51 | ↓ -69% |
| Aetna of PA | Medicare | $9.62 | ↓ -69% |
| United Healthcare | Unison Advantage Non Special Needs | $9.71 | ↓ -68% |
| AmeriHealth Caritas | Medicare | $9.99 | ↓ -67% |
| United Healthcare | Unison Advantage Special Needs | $10.18 | ↓ -67% |
| UPMC Health Plan | Partners/Select | $10.91 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $13.27 | ↓ -57% |
| Focus Healthcare | Workers Compensation | $14.65 | ↓ -52% |
| Cigna | Commercial | $17.50 | ↓ -43% |
| Horizon Health Plan | Commercial | $17.50 | ↓ -43% |
| Multiplan | Auto/PPO/Worker's Compensation | $18.75 | ↓ -39% |
| Health Coalition Partners | PPO | $20.00 | ↓ -35% |
| InterGroup | Commercial | $20.00 | ↓ -35% |
| Focus Healthcare | Disability/PPO/Auto | $23.75 | ↓ -22% |
| Cigna | Medicare | $562.80 | ↑ +1739% |
Visitor-reported prices
Comments
Cefoxitin 1 gram intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $211.20 | $3.02 – $47.20 |
| UPMC Bedford | Everett | $84.80 | $3.02 – $74.85 |
| UPMC Carlisle | Carlisle | $19.80 | $0.14 – $7.16 |
| UPMC Cole | Coudersport | $30.00 | $4.78 – $40.00 |
| UPMC Community Osteopathic | Harrisburg | $19.80 | $0.20 – $44.94 |
| UPMC East | Monroeville | $163.20 | $3.02 – $161.60 |
| UPMC Hamot | Erie | $173.60 | $3.02 – $13.83 |
| UPMC Northwest | Seneca | $108.80 | $3.02 – $70.05 |