Ghs incision thrombosed ext hemorrhoid at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$345.60
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.
$576.00
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.
$45.10 with Aetna vs $10,580.64 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 | $45.10 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $45.10 | ↓ -87% |
| United Healthcare Community Plan for Families | Unison Kids | $47.15 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $56.99 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $60.80 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $64.01 | ↓ -81% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $69.87 | ↓ -80% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $173.90 | ↓ -50% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $173.90 | ↓ -50% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $173.90 | ↓ -50% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $173.90 | ↓ -50% |
| UPMC Health Plan | Managed Medicare | $173.90 | ↓ -50% |
| UPMC Work Partners | Workers Comp | $174.63 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicare | $178.84 | ↓ -48% |
| Aetna of PA | Medicare | $180.86 | ↓ -48% |
| United Healthcare | Unison Advantage Non Special Needs | $182.59 | ↓ -47% |
| AmeriHealth Caritas | Medicare | $187.81 | ↓ -46% |
| United Healthcare | Unison Advantage Special Needs | $191.29 | ↓ -45% |
| Focus Healthcare | Workers Compensation | $192.91 | ↓ -44% |
| UPMC Health Plan | CHIP | $201.60 | ↓ -42% |
| UPMC Health Plan | Partners/Select | $205.20 | ↓ -41% |
| United Healthcare | Commercial | $230.25 | ↓ -33% |
| UPMC Health Plan | Commercial | $295.09 | ↓ -15% |
| Cigna | Commercial | $329.00 | ↓ -5% |
| Horizon Health Plan | Commercial | $329.00 | ↓ -5% |
| Multiplan | Auto/PPO/Worker's Compensation | $352.50 | ↑ +2% |
| InterGroup | Commercial | $376.00 | ↑ +9% |
| Health Coalition Partners | PPO | $376.00 | ↑ +9% |
| Focus Healthcare | Disability/PPO/Auto | $446.50 | ↑ +29% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $868.72 | ↑ +151% |
| Highmark BCBS of PA | Managed Care - Social Mission | $868.72 | ↑ +151% |
| Highmark BCBS of PA | Managed Care | $1,064.09 | ↑ +208% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,064.09 | ↑ +208% |
| Cigna | Medicare | $10,580.64 | ↑ +2962% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs incision thrombosed ext hemorrhoid at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $909.00 | $41.00 – $1,212.00 |
| UPMC Bedford | Everett | $808.80 | $43.05 – $1,213.20 |
| UPMC Carlisle | Carlisle | $520.80 | $52.07 – $1,016.56 |
| UPMC Cole | Coudersport | $557.40 | $38.25 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $520.80 | $52.07 – $1,016.56 |
| UPMC East | Monroeville | $543.60 | $45.10 – $724.80 |
| UPMC Hamot | Erie | $539.40 | $45.10 – $337.24 |
| UPMC Northwest | Seneca | $745.20 | $45.10 – $243.46 |