Facial Bones X-ray (1 to 2 views) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$124.20
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.
$207.00
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.
$13.30 with UPMC Health Plan vs $855.46 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 | CHIP | $13.30 | ↓ -89% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $14.06 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $14.06 | ↓ -89% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $14.06 | ↓ -89% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $14.06 | ↓ -89% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $14.06 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $14.46 | ↓ -88% |
| Aetna of PA | Medicare | $14.62 | ↓ -88% |
| United Healthcare | Unison Advantage Non Special Needs | $14.76 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $15.18 | ↓ -88% |
| United Healthcare | Unison Advantage Special Needs | $15.47 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $16.59 | ↓ -87% |
| Horizon Health Plan | Commercial | $26.60 | ↓ -79% |
| Cigna | Commercial | $26.60 | ↓ -79% |
| Multiplan | Auto/PPO/Worker's Compensation | $28.50 | ↓ -77% |
| Aetna | CHIP/Medicaid | $30.18 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $30.18 | ↓ -76% |
| InterGroup | Commercial | $30.40 | ↓ -76% |
| Health Coalition Partners | PPO | $30.40 | ↓ -76% |
| United Healthcare Community Plan for Families | Unison Kids | $31.56 | ↓ -75% |
| Focus Healthcare | Disability/PPO/Auto | $36.10 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $38.14 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicaid | $40.69 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $42.84 | ↓ -66% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $46.76 | ↓ -62% |
| UPMC Work Partners | Workers Comp | $76.46 | ↓ -38% |
| Focus Healthcare | Workers Compensation | $84.46 | ↓ -32% |
| Highmark BCBS of PA | Managed Care - Social Mission | $92.75 | ↓ -25% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $92.75 | ↓ -25% |
| United Healthcare | Commercial | $101.41 | ↓ -18% |
| UPMC Health Plan | Commercial | $112.21 | ↓ -10% |
| Highmark BCBS of PA | Commercial - Indemnity | $113.61 | ↓ -9% |
| Highmark BCBS of PA | Managed Care | $113.61 | ↓ -9% |
| Cigna | Medicare | $855.46 | ↑ +589% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Facial Bones X-ray (1 to 2 views) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $188.40 | $23.72 – $266.90 |
| UPMC Cole | Coudersport | $145.80 | $28.81 – $194.40 |
| UPMC Community Osteopathic | Harrisburg | $188.40 | $23.72 – $266.90 |
| UPMC East | Monroeville | $436.20 | $30.18 – $581.60 |
| UPMC Hamot | Erie | $340.20 | $23.94 – $118.50 |
| UPMC Northwest | Seneca | $288.60 | $30.18 – $88.15 |
| UPMC Hanover | Hanover | $188.40 | $23.72 – $134.58 |
| UPMC Horizon-Greenville | Greenville | $189.00 | $28.81 – $90.67 |