Contrast x-ray of wrist at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$541.20
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.
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What you pay up front if you don't use insurance.
$902.00
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.
$205.25 with UPMC Work Partners vs $13,372.13 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 Work Partners | Workers Comp | $205.25 | ↓ -62% |
| UPMC Health Plan | CHIP | $207.90 | ↓ -62% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $219.78 | ↓ -59% |
| UPMC Health Plan | Managed Medicare | $219.78 | ↓ -59% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $219.78 | ↓ -59% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $219.78 | ↓ -59% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $219.78 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicare | $226.02 | ↓ -58% |
| Focus Healthcare | Workers Compensation | $226.73 | ↓ -58% |
| Aetna of PA | Medicare | $228.57 | ↓ -58% |
| United Healthcare | Unison Advantage Non Special Needs | $230.77 | ↓ -57% |
| AmeriHealth Caritas | Medicare | $237.36 | ↓ -56% |
| UPMC Health Plan | Commercial | $241.07 | ↓ -55% |
| United Healthcare | Unison Advantage Special Needs | $241.76 | ↓ -55% |
| UPMC Health Plan | Partners/Select | $259.34 | ↓ -52% |
| United Healthcare | Commercial | $291.00 | ↓ -46% |
| Geisinger | Medicaid/CHIP | $326.70 | ↓ -40% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $326.70 | ↓ -40% |
| Horizon Health Plan | Commercial | $415.80 | ↓ -23% |
| Cigna | Commercial | $415.80 | ↓ -23% |
| Multiplan | Auto/PPO/Worker's Compensation | $445.50 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $446.19 | ↓ -18% |
| Highmark BCBS of PA | Managed Care - Social Mission | $446.19 | ↓ -18% |
| InterGroup | Commercial | $475.20 | ↓ -12% |
| Health Coalition Partners | PPO | $475.20 | ↓ -12% |
| Highmark BCBS of PA | Managed Care | $546.53 | ↑ +1% |
| Highmark BCBS of PA | Commercial - Indemnity | $546.53 | ↑ +1% |
| Focus Healthcare | Disability/PPO/Auto | $564.30 | ↑ +4% |
| Cigna | Medicare | $13,372.13 | ↑ +2371% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Contrast x-ray of wrist at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $896.40 | $36.02 – $2,006.79 |
| UPMC Cole | Coudersport | $297.00 | $126.43 – $396.00 |
| UPMC Community Osteopathic | Harrisburg | $896.40 | $36.02 – $1,269.90 |
| UPMC Hanover | Hanover | $896.40 | $36.02 – $2,006.79 |
| UPMC Lititz | Lititz | $896.40 | $36.02 – $2,006.79 |
| UPMC McKeesport | Mckeesport | $2,649.60 | $92.44 – $374.53 |
| UPMC Memorial | York | $896.40 | $36.02 – $2,006.79 |
| UPMC Muncy | Muncy | $718.20 | $35.20 – $236.15 |