Euflexxa inj per dose at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$730.80
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.
$1,218.00
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.
$112.45 with PA Health & Wellness vs $27,419.62 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 |
|---|---|---|---|
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $112.45 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $112.45 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $112.45 | ↓ -85% |
| UPMC Health Plan | Commercial | $138.32 | ↓ -81% |
| United Healthcare | Commercial | $199.12 | ↓ -73% |
| Highmark BCBS of PA | Managed Care - Social Mission | $411.11 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $411.11 | ↓ -44% |
| Highmark BCBS of PA | Managed Care | $411.11 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Indemnity | $411.11 | ↓ -44% |
| UPMC Health Plan | CHIP | $426.30 | ↓ -42% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $450.66 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $450.66 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $450.66 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $450.66 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $450.66 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $463.45 | ↓ -37% |
| Aetna of PA | Medicare | $468.69 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $473.19 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $486.71 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $495.73 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $531.78 | ↓ -27% |
| UPMC Work Partners | Workers Comp | $646.27 | ↓ -12% |
| Focus Healthcare | Workers Compensation | $713.87 | ↓ -2% |
| Cigna | Commercial | $852.60 | ↑ +17% |
| Horizon Health Plan | Commercial | $852.60 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $913.50 | ↑ +25% |
| Health Coalition Partners | PPO | $974.40 | ↑ +33% |
| InterGroup | Commercial | $974.40 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $1,157.10 | ↑ +58% |
| Cigna | Medicare | $27,419.62 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Euflexxa inj per dose at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $1,592.40 | $40.57 – $2,388.60 |
| UPMC Cole | Coudersport | $451.80 | $112.45 – $350.40 |
| UPMC Horizon-Greenville | Greenville | $746.40 | $71.00 – $211.01 |
| UPMC Jameson | New Castle | $1,538.40 | $71.00 – $275.13 |
| UPMC McKeesport | Mckeesport | $2,044.20 | $71.00 – $272.94 |
| UPMC Mercy | Pittsburgh | $1,538.40 | $71.00 – $270.36 |
| UPMC Muncy | Muncy | $752.40 | $112.45 – $123.70 |
| UPMC Presbyterian | Pittsburgh | $2,039.40 | $71.00 – $272.94 |