Conform band s w >=5"/yd at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$3.00
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.
$5.00
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.
$1.05 with UPMC Health Plan vs $67.54 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 | CHIP | $1.05 | ↓ -65% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $1.11 | ↓ -63% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $1.11 | ↓ -63% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1.11 | ↓ -63% |
| UPMC Health Plan | Managed Medicare | $1.11 | ↓ -63% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $1.11 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicare | $1.14 | ↓ -62% |
| Aetna of PA | Medicare | $1.15 | ↓ -62% |
| United Healthcare | Unison Advantage Non Special Needs | $1.17 | ↓ -61% |
| AmeriHealth Caritas | Medicare | $1.20 | ↓ -60% |
| United Healthcare | Unison Advantage Special Needs | $1.22 | ↓ -59% |
| UPMC Work Partners | Workers Comp | $1.27 | ↓ -58% |
| UPMC Health Plan | Partners/Select | $1.31 | ↓ -56% |
| Focus Healthcare | Workers Compensation | $1.41 | ↓ -53% |
| United Healthcare | Commercial | $1.47 | ↓ -51% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1.65 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $1.65 | ↓ -45% |
| Horizon Health Plan | Commercial | $2.10 | ↓ -30% |
| Cigna | Commercial | $2.10 | ↓ -30% |
| Multiplan | Auto/PPO/Worker's Compensation | $2.25 | ↓ -25% |
| InterGroup | Commercial | $2.40 | ↓ -20% |
| Health Coalition Partners | PPO | $2.40 | ↓ -20% |
| UPMC Health Plan | Commercial | $2.76 | ↓ -8% |
| Focus Healthcare | Disability/PPO/Auto | $2.85 | ↓ -5% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3.93 | ↑ +31% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3.93 | ↑ +31% |
| Highmark BCBS of PA | Commercial - Indemnity | $4.81 | ↑ +60% |
| Highmark BCBS of PA | Managed Care | $4.81 | ↑ +60% |
| Cigna | Medicare | $67.54 | ↑ +2151% |