Excision benign lesion trunk/arms/legs > 4.0 cm at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$1,398.60
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.
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What you pay up front if you don't use insurance.
$2,331.00
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.
$129.25 with Aetna vs $13,934.93 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $129.25 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $129.25 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison Kids | $135.12 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $163.31 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $174.25 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $183.43 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $200.24 | ↓ -86% |
| UPMC Health Plan | CHIP | $216.65 | ↓ -85% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $229.03 | ↓ -84% |
| UPMC Health Plan | Managed Medicare | $229.03 | ↓ -84% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $229.03 | ↓ -84% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $229.03 | ↓ -84% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $229.03 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $235.53 | ↓ -83% |
| Aetna of PA | Medicare | $238.19 | ↓ -83% |
| United Healthcare | Unison Advantage Non Special Needs | $240.48 | ↓ -83% |
| AmeriHealth Caritas | Medicare | $247.35 | ↓ -82% |
| United Healthcare | Unison Advantage Special Needs | $251.93 | ↓ -82% |
| UPMC Health Plan | Partners/Select | $270.26 | ↓ -81% |
| Cigna | Commercial | $433.30 | ↓ -69% |
| Horizon Health Plan | Commercial | $433.30 | ↓ -69% |
| Multiplan | Auto/PPO/Worker's Compensation | $464.25 | ↓ -67% |
| InterGroup | Commercial | $495.20 | ↓ -65% |
| Health Coalition Partners | PPO | $495.20 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $523.17 | ↓ -63% |
| Focus Healthcare | Workers Compensation | $577.92 | ↓ -59% |
| Focus Healthcare | Disability/PPO/Auto | $588.05 | ↓ -58% |
| United Healthcare | Commercial | $1,141.96 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,335.11 | ↓ -5% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,335.11 | ↓ -5% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,635.36 | ↑ +17% |
| Highmark BCBS of PA | Managed Care | $1,635.36 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,705.48 | ↑ +22% |
| Cigna | Medicare | $13,934.93 | ↑ +896% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Excision benign lesion trunk/arms/legs > 4.0 cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,925.00 | $149.22 – $4,143.75 |
| UPMC Cole | Coudersport | $249.00 | $51.00 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $2,925.00 | $149.22 – $4,143.75 |
| UPMC Hanover | Hanover | $2,925.00 | $149.22 – $2,476.51 |
| UPMC Lititz | Lititz | $2,925.00 | $149.22 – $2,489.89 |
| UPMC Magee | Pittsburgh | $5,442.60 | $129.25 – $1,668.28 |
| UPMC Memorial | York | $2,925.00 | $149.22 – $2,485.84 |
| UPMC Presbyterian | Pittsburgh | $3,265.20 | $129.25 – $1,699.17 |