Crotalidae poly immune fab at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$5,178.60
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.
$8,631.00
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.
$1,828.71 with Highmark Wholecare (prev Gateway) vs $194,301.07 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $1,828.71 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,828.71 | ↓ -65% |
| Geisinger | Medicaid/CHIP | $1,828.71 | ↓ -65% |
| UPMC Health Plan | Commercial | $2,249.32 | ↓ -57% |
| United Healthcare | Commercial | $2,936.41 | ↓ -43% |
| UPMC Health Plan | CHIP | $3,020.85 | ↓ -42% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $3,193.47 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $3,193.47 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $3,193.47 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $3,193.47 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $3,193.47 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,284.10 | ↓ -37% |
| Aetna of PA | Medicare | $3,321.21 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $3,353.14 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $3,448.95 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $3,512.82 | ↓ -32% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,645.72 | ↓ -30% |
| Highmark BCBS of PA | Managed Care | $3,645.72 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,645.72 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,645.72 | ↓ -30% |
| UPMC Health Plan | Partners/Select | $3,768.29 | ↓ -27% |
| UPMC Work Partners | Workers Comp | $4,579.61 | ↓ -12% |
| Focus Healthcare | Workers Compensation | $5,058.63 | ↓ -2% |
| Cigna | Commercial | $6,041.70 | ↑ +17% |
| Horizon Health Plan | Commercial | $6,041.70 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $6,473.25 | ↑ +25% |
| Health Coalition Partners | PPO | $6,904.80 | ↑ +33% |
| InterGroup | Commercial | $6,904.80 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $8,199.45 | ↑ +58% |
| Cigna | Medicare | $194,301.07 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Crotalidae poly immune fab at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,691.20 | $1,154.65 – $8,921.60 |
| UPMC Muncy | Muncy | $14,450.40 | $1,828.71 – $2,011.59 |
| UPMC Presbyterian | Pittsburgh | $6,805.20 | $1,154.65 – $2,979.26 |
| UPMC Wellsboro | Wellsboro | $14,450.40 | $1,828.71 – $2,011.59 |
| UPMC Williamsport | Williamsport | $6,069.00 | $1,828.71 – $1,956.73 |
| WellSpan Waynesboro Hospital | Waynesboro | $7,082.00 | $37.50 – $6,217.65 |
| WellSpan Gettysburg Hospital | Gettysburg | $11,945.00 | $1,828.72 – $6,145.34 |
| UPMC Northwest | Seneca | not published | $1,154.65 – $1,975.02 |