Ghs nerve block suprascapular at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$625.20
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.
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What you pay up front if you don't use insurance.
$1,042.00
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.
$38.50 with UPMC Health Plan vs $23,457.50 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 Health Plan | Managed Medicaid | $38.50 | ↓ -94% |
| Aetna | CHIP/Medicaid | $38.50 | ↓ -94% |
| United Healthcare Community Plan for Families | Unison Kids | $40.25 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $48.65 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $51.91 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $54.64 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $59.65 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $167.78 | ↓ -73% |
| Focus Healthcare | Workers Compensation | $185.34 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $365.09 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $365.09 | ↓ -42% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $385.54 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $385.54 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $385.54 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $385.54 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $385.54 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $396.48 | ↓ -37% |
| Aetna of PA | Medicare | $400.96 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $404.82 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $416.38 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $424.09 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity | $447.19 | ↓ -28% |
| Highmark BCBS of PA | Managed Care | $447.19 | ↓ -28% |
| UPMC Health Plan | Partners/Select | $454.94 | ↓ -27% |
| UPMC Health Plan | Commercial | $469.32 | ↓ -25% |
| United Healthcare | Commercial | $510.48 | ↓ -18% |
| UPMC Health Plan | CHIP | $637.34 | ↑ +2% |
| Cigna | Commercial | $729.40 | ↑ +17% |
| Horizon Health Plan | Commercial | $729.40 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $781.50 | ↑ +25% |
| Health Coalition Partners | PPO | $833.60 | ↑ +33% |
| InterGroup | Commercial | $833.60 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $989.90 | ↑ +58% |
| Cigna | Medicare | $23,457.50 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs nerve block suprascapular at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,085.40 | $35.00 – $1,447.20 |
| UPMC Cole | Coudersport | $166.80 | $36.75 – $222.40 |
| UPMC Community Osteopathic | Harrisburg | $1,976.40 | $44.45 – $2,799.90 |
| UPMC East | Monroeville | $987.60 | $38.50 – $1,316.80 |
| UPMC Hamot | Erie | $1,108.80 | $38.50 – $960.26 |
| UPMC Hanover | Hanover | $1,976.40 | $44.45 – $1,058.50 |
| UPMC Horizon-Greenville | Greenville | $908.40 | $38.50 – $713.05 |
| UPMC Jameson | New Castle | $908.40 | $38.50 – $892.40 |