Contrast x-ray of elbow at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$857.40
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.
$1,429.00
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.
$56.00 with UPMC Health Plan vs $3,601.92 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 | $56.00 | ↓ -93% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $59.20 | ↓ -93% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $59.20 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $59.20 | ↓ -93% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $59.20 | ↓ -93% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $59.20 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $60.88 | ↓ -93% |
| Aetna of PA | Medicare | $61.57 | ↓ -93% |
| United Healthcare | Unison Advantage Non Special Needs | $62.16 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $63.94 | ↓ -93% |
| United Healthcare | Unison Advantage Special Needs | $65.12 | ↓ -92% |
| UPMC Health Plan | Partners/Select | $69.86 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $88.00 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $88.00 | ↓ -90% |
| Horizon Health Plan | Commercial | $112.00 | ↓ -87% |
| Cigna | Commercial | $112.00 | ↓ -87% |
| Multiplan | Auto/PPO/Worker's Compensation | $120.00 | ↓ -86% |
| InterGroup | Commercial | $128.00 | ↓ -85% |
| Health Coalition Partners | PPO | $128.00 | ↓ -85% |
| Focus Healthcare | Disability/PPO/Auto | $152.00 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $245.64 | ↓ -71% |
| Focus Healthcare | Workers Compensation | $271.35 | ↓ -68% |
| UPMC Health Plan | Commercial | $293.94 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $347.91 | ↓ -59% |
| Highmark BCBS of PA | Managed Care - Social Mission | $347.91 | ↓ -59% |
| United Healthcare | Commercial | $350.77 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Indemnity | $426.15 | ↓ -50% |
| Highmark BCBS of PA | Managed Care | $426.15 | ↓ -50% |
| Cigna | Medicare | $3,601.92 | ↑ +320% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Contrast x-ray of elbow at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $814.20 | $36.02 – $2,006.79 |
| UPMC Community Osteopathic | Harrisburg | $814.20 | $36.02 – $1,153.45 |
| UPMC Hanover | Hanover | $814.20 | $36.02 – $2,006.79 |
| UPMC Lititz | Lititz | $814.20 | $36.02 – $2,006.79 |
| UPMC McKeesport | Mckeesport | $2,649.60 | $112.72 – $374.53 |
| UPMC Memorial | York | $814.20 | $36.02 – $2,006.79 |
| UPMC Mercy | Pittsburgh | $793.80 | $110.13 – $374.53 |
| UPMC Muncy | Muncy | $718.20 | $35.20 – $286.95 |