Chrom analysis at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$474.60
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.
$791.00
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.
$34.41 with UPMC Work Partners vs $17,806.99 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 Work Partners | Workers Comp | $34.41 | ↓ -93% |
| Focus Healthcare | Workers Compensation | $38.01 | ↓ -92% |
| United Healthcare | Commercial | $44.17 | ↓ -91% |
| UPMC Health Plan | Commercial | $134.23 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $150.24 | ↓ -68% |
| Highmark BCBS of PA | Managed Care - Social Mission | $150.24 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Indemnity | $184.03 | ↓ -61% |
| Highmark BCBS of PA | Managed Care | $184.03 | ↓ -61% |
| UPMC Health Plan | CHIP | $276.85 | ↓ -42% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $292.67 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $292.67 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $292.67 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $292.67 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $292.67 | ↓ -38% |
| Aetna of PA | Medicare | $304.38 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $307.30 | ↓ -35% |
| Highmark Wholecare (prev Gateway) | Medicare | $316.08 | ↓ -33% |
| AmeriHealth Caritas | Medicare | $316.08 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $321.94 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $345.35 | ↓ -27% |
| Geisinger | Medicaid/CHIP | $435.05 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $435.05 | ↓ -8% |
| Cigna | Commercial | $553.70 | ↑ +17% |
| Horizon Health Plan | Commercial | $553.70 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $593.25 | ↑ +25% |
| InterGroup | Commercial | $632.80 | ↑ +33% |
| Health Coalition Partners | PPO | $632.80 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $751.45 | ↑ +58% |
| Cigna | Medicare | $17,806.99 | ↑ +3652% |
Visitor-reported prices
Comments
Chrom analysis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $123.00 | $34.41 – $164.00 |
| UPMC Bedford | Everett | $234.00 | $12.56 – $351.00 |
| UPMC Carlisle | Carlisle | $126.00 | $19.15 – $178.50 |
| UPMC Community Osteopathic | Harrisburg | $126.00 | $27.81 – $182.28 |
| UPMC Hamot | Erie | $367.20 | $34.41 – $67.21 |
| UPMC Northwest | Seneca | $228.60 | $31.57 – $37.59 |
| UPMC Magee | Pittsburgh | $652.20 | $32.58 – $67.85 |
| UPMC Presbyterian | Pittsburgh | $309.60 | $25.48 – $67.85 |