Eye Socket, Pituitary or Ear CT Scan (without contrast) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$879.00
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.
$1,465.00
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.
$93.45 with UPMC Health Plan vs $6,010.70 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 | CHIP | $93.45 | ↓ -89% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $98.79 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $98.79 | ↓ -89% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $98.79 | ↓ -89% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $98.79 | ↓ -89% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $98.79 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $101.59 | ↓ -88% |
| Aetna of PA | Medicare | $102.74 | ↓ -88% |
| United Healthcare | Unison Advantage Non Special Needs | $103.73 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $106.69 | ↓ -88% |
| United Healthcare | Unison Advantage Special Needs | $108.67 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $116.57 | ↓ -87% |
| Horizon Health Plan | Commercial | $186.90 | ↓ -79% |
| Cigna | Commercial | $186.90 | ↓ -79% |
| Aetna | CHIP/Medicaid | $190.77 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $190.77 | ↓ -78% |
| United Healthcare Community Plan for Families | Unison Kids | $199.44 | ↓ -77% |
| Multiplan | Auto/PPO/Worker's Compensation | $200.25 | ↓ -77% |
| Health Coalition Partners | PPO | $213.60 | ↓ -76% |
| InterGroup | Commercial | $213.60 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $241.05 | ↓ -73% |
| Focus Healthcare | Disability/PPO/Auto | $253.65 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $257.20 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $270.74 | ↓ -69% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $295.56 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $422.97 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $422.97 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Indemnity | $518.09 | ↓ -41% |
| Highmark BCBS of PA | Managed Care | $518.09 | ↓ -41% |
| UPMC Work Partners | Workers Comp | $558.68 | ↓ -36% |
| Focus Healthcare | Workers Compensation | $617.15 | ↓ -30% |
| UPMC Health Plan | Commercial | $645.40 | ↓ -27% |
| United Healthcare | Commercial | $701.00 | ↓ -20% |
| Cigna | Medicare | $6,010.70 | ↑ +584% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Eye Socket, Pituitary or Ear CT Scan (without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,050.00 | $114.00 – $1,400.00 |
| UPMC Bedford | Everett | $741.00 | $36.58 – $1,111.50 |
| UPMC Carlisle | Carlisle | $796.80 | $100.71 – $1,128.80 |
| UPMC Cole | Coudersport | $904.80 | $175.82 – $1,206.40 |
| UPMC Community Osteopathic | Harrisburg | $796.80 | $103.55 – $1,128.80 |
| UPMC East | Monroeville | $1,863.00 | $101.65 – $2,484.00 |
| UPMC Hamot | Erie | $1,464.60 | $117.01 – $609.71 |
| UPMC Northwest | Seneca | $1,226.40 | $91.94 – $577.46 |