Echo stress at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$561.60
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.
?
What you pay up front if you don't use insurance.
$936.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$84.15 with UPMC Health Plan vs $21,071.23 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $84.15 | ↓ -85% |
| Aetna | CHIP/Medicaid | $84.15 | ↓ -85% |
| United Healthcare Community Plan for Families | Unison Kids | $87.97 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $106.33 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $113.45 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $119.42 | ↓ -79% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $130.37 | ↓ -77% |
| UPMC Health Plan | CHIP | $327.60 | ↓ -42% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $346.32 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $346.32 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $346.32 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $346.32 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $346.32 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $356.15 | ↓ -37% |
| Aetna of PA | Medicare | $360.17 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $363.64 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $374.03 | ↓ -33% |
| UPMC Health Plan | Commercial | $379.38 | ↓ -32% |
| United Healthcare | Unison Advantage Special Needs | $380.95 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $408.66 | ↓ -27% |
| United Healthcare | Commercial | $458.55 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $481.62 | ↓ -14% |
| Highmark BCBS of PA | Managed Care - Social Mission | $481.62 | ↓ -14% |
| Highmark BCBS of PA | Managed Care | $589.93 | ↑ +5% |
| Highmark BCBS of PA | Commercial - Indemnity | $589.93 | ↑ +5% |
| Cigna | Commercial | $655.20 | ↑ +17% |
| Horizon Health Plan | Commercial | $655.20 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $702.00 | ↑ +25% |
| InterGroup | Commercial | $748.80 | ↑ +33% |
| Health Coalition Partners | PPO | $748.80 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $889.20 | ↑ +58% |
| UPMC Work Partners | Workers Comp | $933.78 | ↑ +66% |
| Focus Healthcare | Workers Compensation | $1,031.50 | ↑ +84% |
| Cigna | Medicare | $21,071.23 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Echo stress at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,335.00 | $46.50 – $1,780.00 |
| UPMC Bedford | Everett | $966.00 | $80.33 – $1,449.00 |
| UPMC Carlisle | Carlisle | $1,737.60 | $60.91 – $2,461.60 |
| UPMC Community Osteopathic | Harrisburg | $1,737.60 | $60.91 – $981.22 |
| UPMC Hamot | Erie | $696.00 | $84.15 – $957.76 |
| UPMC Northwest | Seneca | $626.40 | $84.15 – $937.61 |
| UPMC Hanover | Hanover | $1,737.60 | $60.91 – $981.22 |
| UPMC Horizon-Greenville | Greenville | $2,782.80 | $84.15 – $937.61 |