Cholangiogram percutaneous compl at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$2,247.00
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.
$3,745.00
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.
$193.84 with UPMC Health Plan vs $84,307.44 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 | Managed Medicaid | $193.84 | ↓ -91% |
| Aetna | CHIP/Medicaid | $193.84 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison Kids | $202.65 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $244.93 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $261.33 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $275.10 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $300.31 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $1,053.42 | ↓ -53% |
| Focus Healthcare | Workers Compensation | $1,163.66 | ↓ -48% |
| UPMC Health Plan | CHIP | $1,310.75 | ↓ -42% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $1,385.65 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $1,385.65 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,385.65 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $1,385.65 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $1,385.65 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,424.97 | ↓ -37% |
| Aetna of PA | Medicare | $1,441.08 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $1,454.93 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $1,496.50 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $1,524.21 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $1,635.07 | ↓ -27% |
| United Healthcare | Commercial | $1,834.68 | ↓ -18% |
| UPMC Health Plan | Commercial | $2,059.75 | ↓ -8% |
| Cigna | Commercial | $2,621.50 | ↑ +17% |
| Horizon Health Plan | Commercial | $2,621.50 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $2,808.75 | ↑ +25% |
| InterGroup | Commercial | $2,996.00 | ↑ +33% |
| Health Coalition Partners | PPO | $2,996.00 | ↑ +33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,496.39 | ↑ +56% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,496.39 | ↑ +56% |
| Focus Healthcare | Disability/PPO/Auto | $3,557.75 | ↑ +58% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,282.67 | ↑ +91% |
| Highmark BCBS of PA | Managed Care | $4,282.67 | ↑ +91% |
| Cigna | Medicare | $84,307.44 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cholangiogram percutaneous compl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $7,069.80 | $223.80 – $10,015.55 |
| UPMC Community Osteopathic | Harrisburg | $7,069.80 | $237.90 – $10,015.55 |
| UPMC East | Monroeville | $3,342.00 | $193.84 – $4,456.00 |
| UPMC Hamot | Erie | $3,495.00 | $193.84 – $4,893.48 |
| UPMC Hanover | Hanover | $7,069.80 | $223.80 – $5,394.10 |
| UPMC Jameson | New Castle | $2,453.40 | $193.84 – $4,542.13 |
| UPMC Lititz | Lititz | $7,069.80 | $223.80 – $5,423.23 |
| UPMC Magee | Pittsburgh | $3,153.00 | $193.84 – $3,633.70 |