Chg radiologic exam esophagus double contrast at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$349.20
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.
$582.00
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.
$92.49 with Aetna vs $13,101.98 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $92.49 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $92.49 | ↓ -74% |
| United Healthcare Community Plan for Families | Unison Kids | $96.69 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $116.86 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $124.69 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $127.09 | ↓ -64% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $131.26 | ↓ -62% |
| Focus Healthcare | Workers Compensation | $140.39 | ↓ -60% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $143.29 | ↓ -59% |
| UPMC Health Plan | Commercial | $199.38 | ↓ -43% |
| UPMC Health Plan | CHIP | $203.70 | ↓ -42% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $215.34 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $215.34 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $215.34 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $215.34 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $215.34 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $221.45 | ↓ -37% |
| Aetna of PA | Medicare | $223.95 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $226.11 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $232.57 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $236.87 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $254.10 | ↓ -27% |
| United Healthcare | Commercial | $285.12 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $323.35 | ↓ -7% |
| Highmark BCBS of PA | Managed Care - Social Mission | $323.35 | ↓ -7% |
| Highmark BCBS of PA | Commercial - Indemnity | $396.07 | ↑ +13% |
| Highmark BCBS of PA | Managed Care | $396.07 | ↑ +13% |
| Cigna | Commercial | $407.40 | ↑ +17% |
| Horizon Health Plan | Commercial | $407.40 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $436.50 | ↑ +25% |
| InterGroup | Commercial | $465.60 | ↑ +33% |
| Health Coalition Partners | PPO | $465.60 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $552.90 | ↑ +58% |
| Cigna | Medicare | $13,101.98 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Chg radiologic exam esophagus double contrast at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $302.40 | $39.18 – $403.20 |
| UPMC Bedford | Everett | $186.00 | $61.23 – $279.00 |
| UPMC Carlisle | Carlisle | $427.80 | $16.99 – $272.48 |
| UPMC Community Osteopathic | Harrisburg | $427.80 | $24.80 – $270.76 |
| UPMC East | Monroeville | $832.80 | $39.56 – $1,110.40 |
| UPMC Hamot | Erie | $407.40 | $39.18 – $270.53 |
| UPMC Northwest | Seneca | $253.20 | $92.49 – $178.21 |
| UPMC Hanover | Hanover | $427.80 | $73.37 – $272.10 |