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CT Angiogram of the Chest (for blood clot) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$1,893.60
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.
$3,156.00
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.
$336.57 with Aetna vs $71,047.87 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $336.57 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $336.57 | ↓ -82% |
| United Healthcare Community Plan for Families | Unison Kids | $351.87 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $425.27 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $453.75 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $477.65 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $521.43 | ↓ -72% |
| United Healthcare | Commercial | $701.00 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $725.82 | ↓ -62% |
| Highmark BCBS of PA | Managed Care - Social Mission | $725.82 | ↓ -62% |
| UPMC Health Plan | Commercial | $752.99 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $783.06 | ↓ -59% |
| Focus Healthcare | Workers Compensation | $865.01 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Indemnity | $889.05 | ↓ -53% |
| Highmark BCBS of PA | Managed Care | $889.05 | ↓ -53% |
| UPMC Health Plan | CHIP | $1,104.60 | ↓ -42% |
| UPMC Health Plan | Managed Medicare | $1,167.72 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $1,167.72 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,167.72 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $1,167.72 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $1,167.72 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,200.86 | ↓ -37% |
| Aetna of PA | Medicare | $1,214.43 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $1,226.11 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $1,261.14 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $1,284.49 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $1,377.91 | ↓ -27% |
| Horizon Health Plan | Commercial | $2,209.20 | ↑ +17% |
| Cigna | Commercial | $2,209.20 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $2,367.00 | ↑ +25% |
| Health Coalition Partners | PPO | $2,524.80 | ↑ +33% |
| InterGroup | Commercial | $2,524.80 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $2,998.20 | ↑ +58% |
| Cigna | Medicare | $71,047.87 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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CT Angiogram of the Chest (for blood clot) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $3,282.60 | $170.18 – $4,376.80 |
| UPMC Passavant-McCandless | Pittsburgh | $3,170.40 | $157.72 – $4,491.40 |
| UPMC Hamot | Erie | $2,637.60 | $195.88 – $3,077.20 |
| UPMC McKeesport | Mckeesport | $3,193.20 | $157.31 – $4,523.70 |
| UPMC Carlisle | Carlisle | $1,424.40 | $168.60 – $2,017.90 |
| UPMC Altoona | Altoona | $1,413.60 | $216.80 – $1,884.80 |
| UPMC Bedford | Everett | $1,248.60 | $61.23 – $1,872.90 |
| UPMC Cole | Coudersport | $1,119.60 | $279.43 – $1,492.80 |