Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$154.20
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.
$257.00
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.
$13.00 with UPMC Health Plan vs $5,785.58 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 | $13.00 | ↓ -92% |
| Aetna | CHIP/Medicaid | $13.00 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison Kids | $13.59 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $16.43 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $17.53 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $18.45 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $20.14 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $38.37 | ↓ -75% |
| Focus Healthcare | Workers Compensation | $42.39 | ↓ -73% |
| Highmark BCBS of PA | Managed Care - Social Mission | $69.57 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $69.57 | ↓ -55% |
| UPMC Health Plan | Commercial | $73.40 | ↓ -52% |
| Highmark BCBS of PA | Managed Care | $85.22 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Indemnity | $85.22 | ↓ -45% |
| UPMC Health Plan | CHIP | $89.95 | ↓ -42% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $95.09 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $95.09 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $95.09 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $95.09 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $95.09 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $97.79 | ↓ -37% |
| Aetna of PA | Medicare | $98.89 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $99.84 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $102.70 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $104.60 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $112.21 | ↓ -27% |
| United Healthcare | Commercial | $125.90 | ↓ -18% |
| Horizon Health Plan | Commercial | $179.90 | ↑ +17% |
| Cigna | Commercial | $179.90 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $192.75 | ↑ +25% |
| InterGroup | Commercial | $205.60 | ↑ +33% |
| Health Coalition Partners | PPO | $205.60 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $244.15 | ↑ +58% |
| Cigna | Medicare | $5,785.58 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $98.40 | $11.82 – $131.20 |
| UPMC Bedford | Everett | $75.00 | $12.41 – $112.50 |
| UPMC Cole | Coudersport | $76.80 | $12.41 – $102.40 |
| UPMC East | Monroeville | $155.40 | $13.00 – $207.20 |
| UPMC Hamot | Erie | $661.80 | $13.00 – $273.12 |
| UPMC Northwest | Seneca | $84.60 | $13.00 – $203.61 |
| UPMC Hanover | Hanover | $325.80 | $15.01 – $310.88 |
| UPMC Horizon-Greenville | Greenville | $158.40 | $13.00 – $209.42 |