Exc malig feenl 1.1-2 11642 at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$658.80
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.
$1,098.00
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.
$148.50 with UPMC Health Plan vs $22,196.83 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $148.50 | ↓ -77% |
| Aetna | CHIP/Medicaid | $148.50 | ↓ -77% |
| United Healthcare Community Plan for Families | Unison Kids | $155.25 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $187.64 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $200.21 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $210.75 | ↓ -68% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $230.07 | ↓ -65% |
| UPMC Health Plan | CHIP | $345.10 | ↓ -48% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $364.82 | ↓ -45% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $364.82 | ↓ -45% |
| UPMC Health Plan | Managed Medicare | $364.82 | ↓ -45% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $364.82 | ↓ -45% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $364.82 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicare | $375.17 | ↓ -43% |
| Aetna of PA | Medicare | $379.41 | ↓ -42% |
| United Healthcare | Unison Advantage Non Special Needs | $383.06 | ↓ -42% |
| AmeriHealth Caritas | Medicare | $394.01 | ↓ -40% |
| United Healthcare | Unison Advantage Special Needs | $401.30 | ↓ -39% |
| UPMC Health Plan | Partners/Select | $430.49 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $511.28 | ↓ -22% |
| United Healthcare | Commercial | $537.91 | ↓ -18% |
| Focus Healthcare | Workers Compensation | $564.78 | ↓ -14% |
| Cigna | Commercial | $690.20 | ↑ +5% |
| Horizon Health Plan | Commercial | $690.20 | ↑ +5% |
| Multiplan | Auto/PPO/Worker's Compensation | $739.50 | ↑ +12% |
| InterGroup | Commercial | $788.80 | ↑ +20% |
| Health Coalition Partners | PPO | $788.80 | ↑ +20% |
| Focus Healthcare | Disability/PPO/Auto | $936.70 | ↑ +42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,120.22 | ↑ +70% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,120.22 | ↑ +70% |
| Highmark BCBS of PA | Managed Care | $1,372.14 | ↑ +108% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,372.14 | ↑ +108% |
| UPMC Health Plan | Commercial | $1,691.79 | ↑ +157% |
| Cigna | Medicare | $22,196.83 | ↑ +3269% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Exc malig feenl 1.1-2 11642 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,494.00 | $135.00 – $5,992.00 |
| UPMC Cole | Coudersport | $225.00 | $45.74 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $477.00 | $675.75 – $675.75 |
| UPMC Magee | Pittsburgh | $2,427.00 | $148.50 – $736.75 |
| UPMC Presbyterian | Pittsburgh | $3,835.20 | $148.50 – $931.20 |
| UPMC Somerset | Somerset | $477.00 | $148.50 – $892.40 |
| UPMC St. Margaret | Pittsburgh | $3,448.20 | $148.50 – $736.75 |
| UPMC Williamsport | Williamsport | $490.80 | $148.50 – $993.28 |