#covid19rsv-rsv at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$220.20
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.
$367.00
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.
$69.38 with UPMC Work Partners vs $8,261.90 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 Work Partners | Workers Comp | $69.38 | ↓ -68% |
| UPMC Health Plan | Managed Medicaid | $76.26 | ↓ -65% |
| Aetna | CHIP/Medicaid | $76.26 | ↓ -65% |
| Focus Healthcare | Workers Compensation | $76.65 | ↓ -65% |
| United Healthcare Community Plan for Families | Unison Kids | $79.73 | ↓ -64% |
| United Healthcare | Commercial | $86.66 | ↓ -61% |
| Geisinger | Medicaid/CHIP | $96.36 | ↓ -56% |
| Highmark Wholecare (prev Gateway) | Medicaid | $102.82 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $108.23 | ↓ -51% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $118.15 | ↓ -46% |
| UPMC Health Plan | CHIP | $128.45 | ↓ -42% |
| UPMC Health Plan | Managed Medicare | $135.79 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $135.79 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $135.79 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $135.79 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $135.79 | ↓ -38% |
| Aetna of PA | Medicare | $141.22 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $142.58 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $146.65 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $146.65 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $149.37 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $160.23 | ↓ -27% |
| UPMC Health Plan | Commercial | $249.44 | ↑ +13% |
| Cigna | Commercial | $256.90 | ↑ +17% |
| Horizon Health Plan | Commercial | $256.90 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $275.25 | ↑ +25% |
| Health Coalition Partners | PPO | $293.60 | ↑ +33% |
| InterGroup | Commercial | $293.60 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $302.98 | ↑ +38% |
| Highmark BCBS of PA | Managed Care - Social Mission | $302.98 | ↑ +38% |
| Focus Healthcare | Disability/PPO/Auto | $348.65 | ↑ +58% |
| Highmark BCBS of PA | Managed Care | $371.12 | ↑ +69% |
| Highmark BCBS of PA | Commercial - Indemnity | $371.12 | ↑ +69% |
| Cigna | Medicare | $8,261.90 | ↑ +3652% |
Visitor-reported prices
Comments
#covid19rsv-rsv at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $390.60 | $69.33 – $553.35 |
| UPMC Community Osteopathic | Harrisburg | $390.60 | $69.33 – $553.35 |
| UPMC Hamot | Erie | $306.00 | $54.96 – $96.36 |
| UPMC Hanover | Hanover | $390.60 | $69.33 – $112.32 |
| UPMC Lititz | Lititz | $390.60 | $69.33 – $112.32 |
| UPMC Memorial | York | $390.60 | $44.80 – $429.37 |
| UPMC Somerset | Somerset | $390.60 | $54.41 – $96.36 |
| Uniontown Hospital | Uniontown | $126.50 | $66.34 – $145.81 |