Ghs febrile agglutinns(mayo) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$171.60
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.
$286.00
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.
$6.90 with UPMC Work Partners vs $5,380.37 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 Work Partners | Workers Comp | $6.90 | ↓ -96% |
| Focus Healthcare | Workers Compensation | $7.62 | ↓ -96% |
| Aetna | CHIP/Medicaid | $7.97 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $7.97 | ↓ -95% |
| United Healthcare Community Plan for Families | Unison Kids | $8.34 | ↓ -95% |
| United Healthcare | Commercial | $9.60 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $10.08 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.75 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.32 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $12.36 | ↓ -93% |
| Highmark BCBS of PA | Managed Care - Social Mission | $30.13 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $30.13 | ↓ -82% |
| UPMC Health Plan | Commercial | $33.11 | ↓ -81% |
| Highmark BCBS of PA | Commercial - Indemnity | $36.90 | ↓ -78% |
| Highmark BCBS of PA | Managed Care | $36.90 | ↓ -78% |
| UPMC Health Plan | CHIP | $83.65 | ↓ -51% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $88.43 | ↓ -48% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $88.43 | ↓ -48% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $88.43 | ↓ -48% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $88.43 | ↓ -48% |
| UPMC Health Plan | Managed Medicare | $88.43 | ↓ -48% |
| Aetna of PA | Medicare | $91.97 | ↓ -46% |
| United Healthcare | Unison Advantage Non Special Needs | $92.85 | ↓ -46% |
| AmeriHealth Caritas | Medicare | $95.50 | ↓ -44% |
| Highmark Wholecare (prev Gateway) | Medicare | $95.50 | ↓ -44% |
| United Healthcare | Unison Advantage Special Needs | $97.27 | ↓ -43% |
| UPMC Health Plan | Partners/Select | $104.35 | ↓ -39% |
| Cigna | Commercial | $167.30 | ↓ -3% |
| Horizon Health Plan | Commercial | $167.30 | ↓ -3% |
| Multiplan | Auto/PPO/Worker's Compensation | $179.25 | ↑ +4% |
| Health Coalition Partners | PPO | $191.20 | ↑ +11% |
| InterGroup | Commercial | $191.20 | ↑ +11% |
| Focus Healthcare | Disability/PPO/Auto | $227.05 | ↑ +32% |
| Cigna | Medicare | $5,380.37 | ↑ +3035% |
Visitor-reported prices
Comments
Ghs febrile agglutinns(mayo) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $71.40 | $4.54 – $95.20 |
| UPMC Northwest | Seneca | $117.60 | $6.33 – $8.34 |
| UPMC Magee | Pittsburgh | $78.00 | $6.53 – $19.16 |
| UPMC Passavant-McCandless | Pittsburgh | $85.20 | $6.49 – $19.16 |
| UPMC Presbyterian | Pittsburgh | $147.00 | $6.90 – $19.16 |