Ghs conjunctiva foreign body-embed bil at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$326.40
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.
$544.00
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.
$120.84 with UPMC Work Partners vs $12,246.53 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 Work Partners | Workers Comp | $120.84 | ↓ -63% |
| Focus Healthcare | Workers Compensation | $133.48 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $161.38 | ↓ -51% |
| Highmark BCBS of PA | Managed Care - Social Mission | $161.38 | ↓ -51% |
| Highmark BCBS of PA | Managed Care | $197.67 | ↓ -39% |
| Highmark BCBS of PA | Commercial - Indemnity | $197.67 | ↓ -39% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $201.28 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $201.28 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $201.28 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $201.28 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $201.28 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $206.99 | ↓ -37% |
| Aetna of PA | Medicare | $209.33 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $211.34 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $217.38 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $221.41 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $237.51 | ↓ -27% |
| United Healthcare | Commercial | $266.51 | ↓ -18% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $299.20 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $299.20 | ↓ -8% |
| UPMC Health Plan | Commercial | $308.00 | ↓ -6% |
| Cigna | Commercial | $380.80 | ↑ +17% |
| Horizon Health Plan | Commercial | $380.80 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $408.00 | ↑ +25% |
| UPMC Health Plan | CHIP | $418.26 | ↑ +28% |
| Health Coalition Partners | PPO | $435.20 | ↑ +33% |
| InterGroup | Commercial | $435.20 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $516.80 | ↑ +58% |
| Cigna | Medicare | $12,246.53 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs conjunctiva foreign body-embed bil at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $844.80 | $120.84 – $1,267.20 |
| UPMC Carlisle | Carlisle | $606.00 | $126.46 – $1,016.56 |
| UPMC Cole | Coudersport | $307.80 | $29.66 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $606.00 | $128.00 – $1,016.56 |
| UPMC Hanover | Hanover | $606.00 | $128.00 – $1,016.56 |
| UPMC Horizon-Greenville | Greenville | $597.00 | $122.31 – $410.88 |
| UPMC Lititz | Lititz | $606.00 | $126.46 – $1,016.56 |
| UPMC Magee | Pittsburgh | $543.00 | $127.83 – $418.48 |