healthcosts.net
ER Visit (level 4) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$312.60
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.
$521.00
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.
$104.86 with Aetna vs $11,728.75 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 | $104.86 | ↓ -66% |
| UPMC Health Plan | Managed Medicaid | $104.86 | ↓ -66% |
| United Healthcare Community Plan for Families | Unison Kids | $109.63 | ↓ -65% |
| Geisinger | Medicaid/CHIP | $132.50 | ↓ -58% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $148.82 | ↓ -52% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $162.46 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $168.00 | ↓ -46% |
| Focus Healthcare | Workers Compensation | $185.58 | ↓ -41% |
| UPMC Health Plan | Managed Medicare | $192.77 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $192.77 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $192.77 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $192.77 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $192.77 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $198.24 | ↓ -37% |
| Aetna of PA | Medicare | $200.48 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $202.41 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $208.19 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $212.05 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $227.47 | ↓ -27% |
| United Healthcare | Commercial | $255.24 | ↓ -18% |
| UPMC Health Plan | Commercial | $330.27 | ↑ +6% |
| Horizon Health Plan | Commercial | $364.70 | ↑ +17% |
| Cigna | Commercial | $364.70 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $390.75 | ↑ +25% |
| Health Coalition Partners | PPO | $416.80 | ↑ +33% |
| InterGroup | Commercial | $416.80 | ↑ +33% |
| Highmark Wholecare (prev Gateway) | Medicaid | $445.60 | ↑ +43% |
| UPMC Health Plan | CHIP | $448.50 | ↑ +43% |
| Focus Healthcare | Disability/PPO/Auto | $494.95 | ↑ +58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $514.29 | ↑ +65% |
| Highmark BCBS of PA | Managed Care - Social Mission | $514.29 | ↑ +65% |
| Highmark BCBS of PA | Commercial - Indemnity | $629.95 | ↑ +102% |
| Highmark BCBS of PA | Managed Care | $629.95 | ↑ +102% |
| Cigna | Medicare | $11,728.75 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 4) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,146.00 | $104.86 – $1,623.50 |
| UPMC Cole | Coudersport | $357.00 | $56.38 – $432.27 |
| UPMC East | Monroeville | $1,120.20 | $104.86 – $1,493.60 |
| UPMC Hamot | Erie | $1,581.00 | $104.86 – $1,844.50 |
| UPMC Altoona | Altoona | $1,012.20 | $123.00 – $1,349.60 |
| UPMC Carlisle | Carlisle | $1,320.00 | $65.00 – $1,870.00 |
| UPMC Bedford | Everett | $645.60 | $100.10 – $968.40 |
| UPMC Community Osteopathic | Harrisburg | $1,320.00 | $65.00 – $448.50 |