Destruction 2-14 lesions 17003 at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$46.80
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.
$78.00
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.
$4.67 with UPMC Health Plan vs $1,350.72 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 | $4.67 | ↓ -90% |
| Aetna | CHIP/Medicaid | $4.67 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison Kids | $4.89 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $5.91 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $6.30 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.63 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $7.24 | ↓ -85% |
| UPMC Health Plan | CHIP | $21.00 | ↓ -55% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $22.20 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $22.20 | ↓ -53% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $22.20 | ↓ -53% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $22.20 | ↓ -53% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $22.20 | ↓ -53% |
| UPMC Work Partners | Workers Comp | $22.58 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $22.83 | ↓ -51% |
| Aetna of PA | Medicare | $23.09 | ↓ -51% |
| United Healthcare | Unison Advantage Non Special Needs | $23.31 | ↓ -50% |
| AmeriHealth Caritas | Medicare | $23.98 | ↓ -49% |
| United Healthcare | Unison Advantage Special Needs | $24.42 | ↓ -48% |
| Focus Healthcare | Workers Compensation | $24.95 | ↓ -47% |
| UPMC Health Plan | Partners/Select | $26.20 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $27.67 | ↓ -41% |
| Highmark BCBS of PA | Managed Care - Social Mission | $27.67 | ↓ -41% |
| Highmark BCBS of PA | Managed Care | $33.89 | ↓ -28% |
| Highmark BCBS of PA | Commercial - Indemnity | $33.89 | ↓ -28% |
| United Healthcare | Commercial | $38.21 | ↓ -18% |
| Cigna | Commercial | $42.00 | ↓ -10% |
| Horizon Health Plan | Commercial | $42.00 | ↓ -10% |
| Multiplan | Auto/PPO/Worker's Compensation | $45.00 | ↓ -4% |
| Health Coalition Partners | PPO | $48.00 | ↑ +3% |
| InterGroup | Commercial | $48.00 | ↑ +3% |
| Focus Healthcare | Disability/PPO/Auto | $57.00 | ↑ +22% |
| UPMC Health Plan | Commercial | $98.80 | ↑ +111% |
| Cigna | Medicare | $1,350.72 | ↑ +2786% |
Visitor-reported prices
Comments
Destruction 2-14 lesions 17003 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $26.40 | $4.25 – $35.20 |
| UPMC Carlisle | Carlisle | $72.60 | $5.40 – $102.85 |
| UPMC Cole | Coudersport | $30.60 | $4.46 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $72.60 | $5.40 – $134.18 |
| UPMC Hanover | Hanover | $72.60 | $5.40 – $23.63 |
| UPMC Lititz | Lititz | $72.60 | $1.79 – $23.63 |
| UPMC Magee | Pittsburgh | $85.80 | $1.97 – $22.58 |
| UPMC Memorial | York | $72.60 | $1.79 – $23.63 |