Graft nerve adv 3-4x70mm at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$13,323.60
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.
$22,206.00
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.
$75.57 with PA Health & Wellness vs $5,155.25 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 |
|---|---|---|---|
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $75.57 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $75.57 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $77.47 | ↓ -99% |
| UPMC Health Plan | CHIP | $80.15 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $84.73 | ↓ -99% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $84.73 | ↓ -99% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $84.73 | ↓ -99% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $84.73 | ↓ -99% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $84.73 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $87.13 | ↓ -99% |
| Aetna of PA | Medicare | $88.12 | ↓ -99% |
| United Healthcare | Unison Advantage Non Special Needs | $88.97 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $91.51 | ↓ -99% |
| United Healthcare | Unison Advantage Special Needs | $93.20 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $93.89 | ↓ -99% |
| UPMC Health Plan | Partners/Select | $99.98 | ↓ -99% |
| United Healthcare | Commercial | $112.19 | ↓ -99% |
| Cigna | Commercial | $160.30 | ↓ -99% |
| Horizon Health Plan | Commercial | $160.30 | ↓ -99% |
| Multiplan | Auto/PPO/Worker's Compensation | $171.75 | ↓ -99% |
| Health Coalition Partners | PPO | $183.20 | ↓ -99% |
| InterGroup | Commercial | $183.20 | ↓ -99% |
| Focus Healthcare | Disability/PPO/Auto | $217.55 | ↓ -98% |
| UPMC Health Plan | Commercial | $3,380.65 | ↓ -75% |
| Cigna | Medicare | $5,155.25 | ↓ -61% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Graft nerve adv 3-4x70mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $25,023.60 | $435.86 – $4,590.94 |
| UPMC Cole | Coudersport | $4,795.20 | $1,518.48 – $6,393.60 |
| UPMC East | Monroeville | $21,180.60 | $221.54 – $4,590.94 |
| UPMC Hamot | Erie | $25,816.80 | $596.69 – $596.69 |
| UPMC Northwest | Seneca | $5,283.60 | $1,548.65 – $5,555.44 |
| UPMC Horizon-Greenville | Greenville | $7,414.20 | $1,520.72 – $4,590.94 |
| UPMC Jameson | New Castle | $6,994.80 | $607.22 – $4,590.94 |
| UPMC Magee | Pittsburgh | $24,976.20 | $602.38 – $4,590.94 |