healthcosts.net
CT Angiogram of Abdomen and Pelvis at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$1,030.20
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.
$1,717.00
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.
$458.46 with Aetna vs $38,653.10 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $458.46 | ↓ -55% |
| UPMC Health Plan | Managed Medicaid | $458.46 | ↓ -55% |
| United Healthcare Community Plan for Families | Unison Kids | $479.30 | ↓ -53% |
| Geisinger | Medicaid/CHIP | $579.28 | ↓ -44% |
| UPMC Health Plan | CHIP | $600.95 | ↓ -42% |
| Highmark Wholecare (prev Gateway) | Medicaid | $618.08 | ↓ -40% |
| UPMC Health Plan | Managed Medicare | $635.29 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $635.29 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $635.29 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $635.29 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $635.29 | ↓ -38% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $650.64 | ↓ -37% |
| Highmark Wholecare (prev Gateway) | Medicare | $653.32 | ↓ -37% |
| Aetna of PA | Medicare | $660.70 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $667.05 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $686.11 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $698.82 | ↓ -32% |
| United Healthcare | Commercial | $701.00 | ↓ -32% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $710.28 | ↓ -31% |
| UPMC Health Plan | Partners/Select | $749.64 | ↓ -27% |
| UPMC Work Partners | Workers Comp | $768.10 | ↓ -25% |
| Focus Healthcare | Workers Compensation | $848.48 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,196.57 | ↑ +16% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,196.57 | ↑ +16% |
| Horizon Health Plan | Commercial | $1,201.90 | ↑ +17% |
| Cigna | Commercial | $1,201.90 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $1,287.75 | ↑ +25% |
| Health Coalition Partners | PPO | $1,373.60 | ↑ +33% |
| InterGroup | Commercial | $1,373.60 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,465.66 | ↑ +42% |
| Highmark BCBS of PA | Managed Care | $1,465.66 | ↑ +42% |
| Focus Healthcare | Disability/PPO/Auto | $1,631.15 | ↑ +58% |
| UPMC Health Plan | Commercial | $2,842.22 | ↑ +176% |
| Cigna | Medicare | $38,653.10 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
CT Angiogram of Abdomen and Pelvis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $5,632.80 | $341.40 – $7,510.40 |
| UPMC Passavant-McCandless | Pittsburgh | $5,436.60 | $316.41 – $7,701.85 |
| UPMC Hamot | Erie | $5,274.00 | $252.25 – $6,153.00 |
| UPMC Carlisle | Carlisle | $2,985.60 | $280.00 – $4,229.60 |
| UPMC Altoona | Altoona | $2,415.60 | $333.70 – $3,220.80 |
| UPMC Bedford | Everett | $4,089.60 | $122.85 – $6,134.40 |
| UPMC Cole | Coudersport | $1,027.20 | $406.23 – $1,369.60 |
| UPMC Community Osteopathic | Harrisburg | $2,985.60 | $125.00 – $3,859.74 |