healthcosts.net
Echocardiogram (Heart Ultrasound) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$1,049.40
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.
$1,749.00
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.
$155.12 with Aetna vs $39,373.49 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $155.12 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $155.12 | ↓ -85% |
| United Healthcare Community Plan for Families | Unison Kids | $162.17 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $196.00 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $209.13 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $220.15 | ↓ -79% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $240.33 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $396.39 | ↓ -62% |
| Focus Healthcare | Workers Compensation | $437.87 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $525.21 | ↓ -50% |
| Highmark BCBS of PA | Managed Care - Social Mission | $525.21 | ↓ -50% |
| UPMC Health Plan | CHIP | $612.15 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Indemnity | $643.33 | ↓ -39% |
| Highmark BCBS of PA | Managed Care | $643.33 | ↓ -39% |
| UPMC Health Plan | Managed Medicare | $647.13 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $647.13 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $647.13 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $647.13 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $647.13 | ↓ -38% |
| UPMC Health Plan | Commercial | $647.83 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $665.49 | ↓ -37% |
| Aetna of PA | Medicare | $673.02 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $679.49 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $698.90 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $711.84 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $763.61 | ↓ -27% |
| United Healthcare | Commercial | $856.84 | ↓ -18% |
| Horizon Health Plan | Commercial | $1,224.30 | ↑ +17% |
| Cigna | Commercial | $1,224.30 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $1,311.75 | ↑ +25% |
| Health Coalition Partners | PPO | $1,399.20 | ↑ +33% |
| InterGroup | Commercial | $1,399.20 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $1,661.55 | ↑ +58% |
| Cigna | Medicare | $39,373.49 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Echocardiogram (Heart Ultrasound) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $1,759.20 | $155.12 – $2,345.60 |
| UPMC Passavant-McCandless | Pittsburgh | $2,111.40 | $155.12 – $2,991.15 |
| UPMC Hamot | Erie | $1,495.80 | $155.12 – $1,745.10 |
| UPMC Carlisle | Carlisle | $2,311.20 | $48.09 – $839.22 |
| UPMC Altoona | Altoona | $1,464.00 | $98.14 – $1,952.00 |
| UPMC Bedford | Everett | $1,876.20 | $148.07 – $2,814.30 |
| UPMC Cole | Coudersport | $837.00 | $148.07 – $1,116.00 |
| UPMC Community Osteopathic | Harrisburg | $2,311.20 | $70.20 – $879.76 |