Culture body fluid at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$94.20
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.
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What you pay up front if you don't use insurance.
$157.00
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.
$7.59 with Aetna vs $1,778.45 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 | $7.59 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $7.59 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison Kids | $7.93 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $8.52 | ↓ -91% |
| Focus Healthcare | Workers Compensation | $9.41 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $9.59 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.23 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $10.77 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $11.76 | ↓ -88% |
| United Healthcare | Commercial | $11.84 | ↓ -87% |
| UPMC Health Plan | CHIP | $27.65 | ↓ -71% |
| UPMC Health Plan | Commercial | $28.91 | ↓ -69% |
| UPMC Health Plan | Managed Medicare | $29.23 | ↓ -69% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $29.23 | ↓ -69% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $29.23 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $29.23 | ↓ -69% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $29.23 | ↓ -69% |
| Aetna of PA | Medicare | $30.40 | ↓ -68% |
| United Healthcare | Unison Advantage Non Special Needs | $30.69 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $31.57 | ↓ -66% |
| AmeriHealth Caritas | Medicare | $31.57 | ↓ -66% |
| United Healthcare | Unison Advantage Special Needs | $32.15 | ↓ -66% |
| UPMC Health Plan | Partners/Select | $34.49 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $37.20 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $37.20 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Indemnity | $45.57 | ↓ -52% |
| Highmark BCBS of PA | Managed Care | $45.57 | ↓ -52% |
| Horizon Health Plan | Commercial | $55.30 | ↓ -41% |
| Cigna | Commercial | $55.30 | ↓ -41% |
| Multiplan | Auto/PPO/Worker's Compensation | $59.25 | ↓ -37% |
| InterGroup | Commercial | $63.20 | ↓ -33% |
| Health Coalition Partners | PPO | $63.20 | ↓ -33% |
| Focus Healthcare | Disability/PPO/Auto | $75.05 | ↓ -20% |
| Cigna | Medicare | $1,778.45 | ↑ +1788% |
Visitor-reported prices
Comments
Culture body fluid at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $108.00 | $6.90 – $144.00 |
| UPMC Bedford | Everett | $66.60 | $3.11 – $99.90 |
| UPMC Carlisle | Carlisle | $48.00 | $6.90 – $68.00 |
| UPMC Cole | Coudersport | $61.20 | $5.60 – $81.60 |
| UPMC Community Osteopathic | Harrisburg | $48.00 | $6.90 – $66.30 |
| UPMC East | Monroeville | $128.40 | $6.90 – $171.20 |
| UPMC Hamot | Erie | $105.00 | $6.90 – $16.64 |
| UPMC Northwest | Seneca | $84.60 | $7.59 – $9.31 |