Ghs respiratory syncytical virus igg/m at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$201.60
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.
$336.00
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.
$15.71 with UPMC Work Partners vs $7,564.03 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 | $15.71 | ↓ -92% |
| Focus Healthcare | Workers Compensation | $17.36 | ↓ -91% |
| United Healthcare | Commercial | $17.72 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $19.57 | ↓ -90% |
| Aetna | CHIP/Medicaid | $19.57 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison Kids | $20.46 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $24.73 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $26.38 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $27.77 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $30.32 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $68.58 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $68.58 | ↓ -66% |
| UPMC Health Plan | Commercial | $81.07 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Indemnity | $84.00 | ↓ -58% |
| Highmark BCBS of PA | Managed Care | $84.00 | ↓ -58% |
| UPMC Health Plan | CHIP | $117.60 | ↓ -42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $124.32 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $124.32 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $124.32 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $124.32 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $124.32 | ↓ -38% |
| Aetna of PA | Medicare | $129.29 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $130.54 | ↓ -35% |
| Highmark Wholecare (prev Gateway) | Medicare | $134.27 | ↓ -33% |
| AmeriHealth Caritas | Medicare | $134.27 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $136.75 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $146.70 | ↓ -27% |
| Cigna | Commercial | $235.20 | ↑ +17% |
| Horizon Health Plan | Commercial | $235.20 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $252.00 | ↑ +25% |
| Health Coalition Partners | PPO | $268.80 | ↑ +33% |
| InterGroup | Commercial | $268.80 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $319.20 | ↑ +58% |
| Cigna | Medicare | $7,564.03 | ↑ +3652% |
Visitor-reported prices
Comments
Ghs respiratory syncytical virus igg/m at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $172.80 | $15.71 – $230.40 |
| UPMC Horizon-Greenville | Greenville | $129.60 | $14.23 – $29.82 |
| UPMC Passavant-McCandless | Pittsburgh | $177.60 | $14.77 – $35.33 |
| UPMC Presbyterian | Pittsburgh | $168.60 | $15.71 – $35.33 |
| Uniontown Hospital | Uniontown | $180.50 | $15.02 – $33.00 |