CT hrt w/3d image at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$1,096.80
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.
$1,828.00
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.
$260.00 with UPMC Health Plan vs $41,151.94 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 Health Plan | Managed Medicaid | $260.00 | ↓ -76% |
| Aetna | CHIP/Medicaid | $260.00 | ↓ -76% |
| United Healthcare Community Plan for Families | Unison Kids | $271.81 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $328.52 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $350.52 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $368.98 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $384.58 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $402.80 | ↓ -63% |
| Focus Healthcare | Workers Compensation | $424.83 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $624.83 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $624.83 | ↓ -43% |
| UPMC Health Plan | CHIP | $639.80 | ↓ -42% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $676.36 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $676.36 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $676.36 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $676.36 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $676.36 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $695.55 | ↓ -37% |
| United Healthcare | Commercial | $701.00 | ↓ -36% |
| Aetna of PA | Medicare | $703.41 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $710.18 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $730.47 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $744.00 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $765.34 | ↓ -30% |
| Highmark BCBS of PA | Managed Care | $765.34 | ↓ -30% |
| UPMC Health Plan | Partners/Select | $798.10 | ↓ -27% |
| UPMC Health Plan | Commercial | $1,158.64 | ↑ +6% |
| Cigna | Commercial | $1,279.60 | ↑ +17% |
| Horizon Health Plan | Commercial | $1,279.60 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $1,371.00 | ↑ +25% |
| Health Coalition Partners | PPO | $1,462.40 | ↑ +33% |
| InterGroup | Commercial | $1,462.40 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $1,736.60 | ↑ +58% |
| Cigna | Medicare | $41,151.94 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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CT hrt w/3d image at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,846.20 | $169.03 – $2,461.60 |
| UPMC Carlisle | Carlisle | $1,424.40 | $221.43 – $2,017.90 |
| UPMC Community Osteopathic | Harrisburg | $1,424.40 | $221.43 – $2,017.90 |
| UPMC Hamot | Erie | $1,373.40 | $260.00 – $424.40 |
| UPMC Hanover | Hanover | $1,424.40 | $221.43 – $545.87 |
| UPMC Lititz | Lititz | $1,424.40 | $221.43 – $548.82 |
| UPMC Memorial | York | $1,424.40 | $221.43 – $547.92 |
| UPMC Muncy | Muncy | $3,384.00 | $216.36 – $411.41 |