Drng of finger abscess comp 26011 at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$1,047.60
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.
$1,746.00
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.
$88.00 with UPMC Health Plan vs $39,305.95 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 | $88.00 | ↓ -92% |
| Aetna | CHIP/Medicaid | $88.00 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison Kids | $92.00 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $111.19 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $118.64 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $124.89 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $136.34 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $302.94 | ↓ -71% |
| Focus Healthcare | Workers Compensation | $334.65 | ↓ -68% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $646.02 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $646.02 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $646.02 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $646.02 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $646.02 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $664.35 | ↓ -37% |
| Aetna of PA | Medicare | $671.86 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $678.32 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $697.70 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $710.62 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $762.30 | ↓ -27% |
| United Healthcare | Commercial | $855.37 | ↓ -18% |
| Horizon Health Plan | Commercial | $1,222.20 | ↑ +17% |
| Cigna | Commercial | $1,222.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,262.88 | ↑ +21% |
| Multiplan | Auto/PPO/Worker's Compensation | $1,309.50 | ↑ +25% |
| InterGroup | Commercial | $1,396.80 | ↑ +33% |
| Health Coalition Partners | PPO | $1,396.80 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $1,658.70 | ↑ +58% |
| UPMC Health Plan | CHIP | $1,715.00 | ↑ +64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,011.26 | ↑ +92% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,011.26 | ↑ +92% |
| Highmark BCBS of PA | Managed Care | $2,463.56 | ↑ +135% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,463.56 | ↑ +135% |
| Cigna | Medicare | $39,305.95 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Drng of finger abscess comp 26011 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,515.40 | $80.00 – $4,687.20 |
| UPMC Carlisle | Carlisle | $2,080.80 | $101.60 – $2,947.80 |
| UPMC Cole | Coudersport | $1,266.00 | $84.00 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $2,080.80 | $101.60 – $2,947.80 |
| UPMC East | Monroeville | $2,281.20 | $88.00 – $3,041.60 |
| UPMC Hamot | Erie | $2,149.20 | $88.00 – $2,246.66 |
| UPMC Northwest | Seneca | $3,017.40 | $88.00 – $1,621.93 |
| UPMC Hanover | Hanover | $2,080.80 | $101.60 – $2,476.51 |