Contrast x-ray gallbladder at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$31.20
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.
?
What you pay up front if you don't use insurance.
$52.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$18.20 with UPMC Health Plan vs $1,170.62 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $18.20 | ↓ -42% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $19.24 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $19.24 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $19.24 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $19.24 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $19.24 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $19.79 | ↓ -37% |
| Aetna of PA | Medicare | $20.01 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $20.20 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $20.78 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $21.16 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $22.70 | ↓ -27% |
| Horizon Health Plan | Commercial | $36.40 | ↑ +17% |
| Cigna | Commercial | $36.40 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $39.00 | ↑ +25% |
| Aetna | CHIP/Medicaid | $40.94 | ↑ +31% |
| UPMC Health Plan | Managed Medicaid | $40.94 | ↑ +31% |
| InterGroup | Commercial | $41.60 | ↑ +33% |
| Health Coalition Partners | PPO | $41.60 | ↑ +33% |
| United Healthcare Community Plan for Families | Unison Kids | $42.80 | ↑ +37% |
| Focus Healthcare | Disability/PPO/Auto | $49.40 | ↑ +58% |
| Geisinger | Medicaid/CHIP | $51.73 | ↑ +66% |
| Highmark Wholecare (prev Gateway) | Medicaid | $55.20 | ↑ +77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $58.10 | ↑ +86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $63.43 | ↑ +103% |
| UPMC Work Partners | Workers Comp | $104.08 | ↑ +234% |
| Focus Healthcare | Workers Compensation | $114.97 | ↑ +268% |
| UPMC Health Plan | Commercial | $126.80 | ↑ +306% |
| Highmark BCBS of PA | Managed Care - Social Mission | $294.70 | ↑ +845% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $294.70 | ↑ +845% |
| Highmark BCBS of PA | Commercial - Indemnity | $360.97 | ↑ +1057% |
| Highmark BCBS of PA | Managed Care | $360.97 | ↑ +1057% |
| Cigna | Medicare | $1,170.62 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Contrast x-ray gallbladder at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $427.80 | $29.48 – $606.05 |
| UPMC Cole | Coudersport | $207.00 | $39.08 – $276.00 |
| UPMC Community Osteopathic | Harrisburg | $427.80 | $29.48 – $606.05 |
| UPMC Hanover | Hanover | $427.80 | $29.48 – $272.10 |
| UPMC Lititz | Lititz | $427.80 | $29.48 – $273.57 |
| UPMC Memorial | York | $427.80 | $29.48 – $289.75 |
| UPMC Muncy | Muncy | $719.40 | $28.80 – $119.97 |
| UPMC Presbyterian | Pittsburgh | $1,312.80 | $27.00 – $186.69 |