Closed tx humerus fx without manip 23600 at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$397.80
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.
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What you pay up front if you don't use insurance.
$663.00
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.
$128.15 with UPMC Health Plan vs $12,449.14 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 | $128.15 | ↓ -68% |
| Aetna | CHIP/Medicaid | $128.15 | ↓ -68% |
| United Healthcare Community Plan for Families | Unison Kids | $133.97 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $161.92 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicaid | $172.77 | ↓ -57% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $181.87 | ↓ -54% |
| UPMC Health Plan | CHIP | $193.55 | ↓ -51% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $198.54 | ↓ -50% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $204.61 | ↓ -49% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $204.61 | ↓ -49% |
| UPMC Health Plan | Managed Medicare | $204.61 | ↓ -49% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $204.61 | ↓ -49% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $204.61 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicare | $210.42 | ↓ -47% |
| Aetna of PA | Medicare | $212.79 | ↓ -47% |
| United Healthcare | Unison Advantage Non Special Needs | $214.84 | ↓ -46% |
| AmeriHealth Caritas | Medicare | $220.98 | ↓ -44% |
| United Healthcare | Unison Advantage Special Needs | $225.07 | ↓ -43% |
| UPMC Health Plan | Partners/Select | $241.44 | ↓ -39% |
| United Healthcare | Commercial | $324.80 | ↓ -18% |
| Cigna | Commercial | $387.10 | ↓ -3% |
| Horizon Health Plan | Commercial | $387.10 | ↓ -3% |
| Multiplan | Auto/PPO/Worker's Compensation | $414.75 | ↑ +4% |
| InterGroup | Commercial | $442.40 | ↑ +11% |
| Health Coalition Partners | PPO | $442.40 | ↑ +11% |
| Focus Healthcare | Disability/PPO/Auto | $525.35 | ↑ +32% |
| UPMC Work Partners | Workers Comp | $638.42 | ↑ +60% |
| Focus Healthcare | Workers Compensation | $705.23 | ↑ +77% |
| UPMC Health Plan | Commercial | $1,275.54 | ↑ +221% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,428.51 | ↑ +259% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,428.51 | ↑ +259% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,749.76 | ↑ +340% |
| Highmark BCBS of PA | Managed Care | $1,749.76 | ↑ +340% |
| Cigna | Medicare | $12,449.14 | ↑ +3029% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Closed tx humerus fx without manip 23600 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $2,557.20 | $82.51 – $3,835.80 |
| UPMC Carlisle | Carlisle | $447.60 | $102.20 – $1,016.56 |
| UPMC Cole | Coudersport | $1,266.00 | $72.90 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $447.60 | $147.96 – $1,732.19 |
| UPMC Hanover | Hanover | $447.60 | $147.96 – $1,016.56 |
| UPMC Lititz | Lititz | $447.60 | $147.96 – $1,016.56 |
| UPMC Memorial | York | $447.60 | $147.96 – $1,016.56 |
| UPMC Muncy | Muncy | $825.60 | $128.15 – $993.28 |