Colposcopy/cervix/inc up/adjacent vag 57452 at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$231.00
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.
$385.00
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.
$43.45 with Aetna vs $8,667.12 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 | $43.45 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $43.45 | ↓ -81% |
| United Healthcare Community Plan for Families | Unison Kids | $45.42 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $54.90 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $58.58 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $61.66 | ↓ -73% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $67.32 | ↓ -71% |
| UPMC Health Plan | CHIP | $134.75 | ↓ -42% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $142.45 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $142.45 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $142.45 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $142.45 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $142.45 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $146.49 | ↓ -37% |
| Aetna of PA | Medicare | $148.15 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $149.57 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $153.85 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $156.69 | ↓ -32% |
| UPMC Work Partners | Workers Comp | $161.04 | ↓ -30% |
| UPMC Health Plan | Partners/Select | $168.09 | ↓ -27% |
| Focus Healthcare | Workers Compensation | $177.90 | ↓ -23% |
| Horizon Health Plan | Commercial | $269.50 | ↑ +17% |
| Cigna | Commercial | $269.50 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $288.75 | ↑ +25% |
| UPMC Health Plan | Commercial | $294.43 | ↑ +27% |
| InterGroup | Commercial | $308.00 | ↑ +33% |
| Health Coalition Partners | PPO | $308.00 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $365.75 | ↑ +58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $534.97 | ↑ +132% |
| Highmark BCBS of PA | Managed Care - Social Mission | $534.97 | ↑ +132% |
| Highmark BCBS of PA | Managed Care | $655.27 | ↑ +184% |
| Highmark BCBS of PA | Commercial - Indemnity | $655.27 | ↑ +184% |
| Cigna | Medicare | $8,667.12 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Colposcopy/cervix/inc up/adjacent vag 57452 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $192.00 | $39.50 – $256.00 |
| UPMC Cole | Coudersport | $175.20 | $41.48 – $233.60 |
| UPMC Community Osteopathic | Harrisburg | $378.00 | $50.16 – $765.04 |
| UPMC Hanover | Hanover | $378.00 | $50.16 – $765.04 |
| UPMC Magee | Pittsburgh | $499.20 | $43.45 – $207.13 |
| UPMC Memorial | York | $378.00 | $50.16 – $765.04 |
| UPMC Presbyterian | Pittsburgh | $766.20 | $43.45 – $700.80 |
| UPMC Somerset | Somerset | $378.00 | $43.45 – $671.60 |