Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$1,096.20
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.
$1,827.00
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.
$39.60 with UPMC Health Plan vs $41,129.42 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 | $39.60 | ↓ -96% |
| Aetna | CHIP/Medicaid | $39.60 | ↓ -96% |
| United Healthcare Community Plan for Families | Unison Kids | $41.40 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $50.04 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $53.39 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $56.20 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $61.35 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $374.75 | ↓ -66% |
| Focus Healthcare | Workers Compensation | $413.97 | ↓ -62% |
| UPMC Health Plan | CHIP | $639.45 | ↓ -42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $675.99 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $675.99 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $675.99 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $675.99 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $675.99 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $695.17 | ↓ -37% |
| Aetna of PA | Medicare | $703.03 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $709.79 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $730.07 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $743.59 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $797.67 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $856.98 | ↓ -22% |
| Highmark BCBS of PA | Managed Care - Social Mission | $856.98 | ↓ -22% |
| Highmark BCBS of PA | Managed Care | $1,049.71 | ↓ -4% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,049.71 | ↓ -4% |
| UPMC Health Plan | Commercial | $1,263.01 | ↑ +15% |
| Cigna | Commercial | $1,278.90 | ↑ +17% |
| Horizon Health Plan | Commercial | $1,278.90 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $1,370.25 | ↑ +25% |
| Health Coalition Partners | PPO | $1,461.60 | ↑ +33% |
| InterGroup | Commercial | $1,461.60 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $1,735.65 | ↑ +58% |
| Cigna | Medicare | $41,129.42 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $526.20 | $36.00 – $701.60 |
| UPMC Cole | Coudersport | $265.80 | $37.80 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $406.20 | $48.60 – $4,217.85 |
| UPMC Magee | Pittsburgh | $3,420.00 | $39.60 – $1,668.28 |
| UPMC Mercy | Pittsburgh | $3,015.00 | $39.60 – $1,699.17 |
| UPMC Presbyterian | Pittsburgh | $2,961.60 | $39.60 – $1,699.17 |
| UPMC Somerset | Somerset | $406.20 | $39.60 – $1,544.70 |
| UPMC St. Margaret | Pittsburgh | $2,574.60 | $39.60 – $1,699.17 |