Ghs layer closure 2.6 - 5.0 cm - 12052 at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$363.00
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.
$605.00
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.
$52.25 with Aetna vs $13,619.76 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 | $52.25 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $52.25 | ↓ -86% |
| United Healthcare Community Plan for Families | Unison Kids | $54.62 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $66.02 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $70.44 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $74.15 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $80.95 | ↓ -78% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $223.85 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $223.85 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $223.85 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $223.85 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $223.85 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $230.20 | ↓ -37% |
| Aetna of PA | Medicare | $232.80 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $235.04 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $241.76 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $246.24 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $264.14 | ↓ -27% |
| UPMC Health Plan | Commercial | $295.13 | ↓ -19% |
| United Healthcare | Commercial | $296.39 | ↓ -18% |
| UPMC Work Partners | Workers Comp | $337.85 | ↓ -7% |
| Focus Healthcare | Workers Compensation | $373.21 | ↑ +3% |
| UPMC Health Plan | CHIP | $400.79 | ↑ +10% |
| Cigna | Commercial | $423.50 | ↑ +17% |
| Horizon Health Plan | Commercial | $423.50 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $453.75 | ↑ +25% |
| InterGroup | Commercial | $484.00 | ↑ +33% |
| Health Coalition Partners | PPO | $484.00 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $574.75 | ↑ +58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,323.11 | ↑ +264% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,323.11 | ↑ +264% |
| Highmark BCBS of PA | Managed Care | $1,620.66 | ↑ +346% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,620.66 | ↑ +346% |
| Cigna | Medicare | $13,619.76 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs layer closure 2.6 - 5.0 cm - 12052 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $820.80 | $47.50 – $1,094.40 |
| UPMC Bedford | Everett | $289.20 | $49.88 – $433.80 |
| UPMC Carlisle | Carlisle | $520.80 | $60.33 – $1,016.56 |
| UPMC Cole | Coudersport | $925.80 | $49.88 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $520.80 | $60.33 – $1,016.56 |
| UPMC East | Monroeville | $543.60 | $52.25 – $724.80 |
| UPMC Hamot | Erie | $539.40 | $52.25 – $554.00 |
| UPMC Northwest | Seneca | $388.80 | $52.25 – $399.94 |