Graft xenmtrx sft rect 15x20cm at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$5,359.20
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.
$8,932.00
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.
$52.14 with PA Health & Wellness vs $3,556.90 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 | $52.14 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $52.14 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $53.45 | ↓ -99% |
| UPMC Health Plan | CHIP | $55.30 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $58.46 | ↓ -99% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $58.46 | ↓ -99% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $58.46 | ↓ -99% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $58.46 | ↓ -99% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $58.46 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $60.12 | ↓ -99% |
| Aetna of PA | Medicare | $60.80 | ↓ -99% |
| United Healthcare | Unison Advantage Non Special Needs | $61.38 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $63.14 | ↓ -99% |
| United Healthcare | Unison Advantage Special Needs | $64.31 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $64.78 | ↓ -99% |
| UPMC Health Plan | Partners/Select | $68.98 | ↓ -99% |
| United Healthcare | Commercial | $77.40 | ↓ -99% |
| Cigna | Commercial | $110.60 | ↓ -98% |
| Horizon Health Plan | Commercial | $110.60 | ↓ -98% |
| Multiplan | Auto/PPO/Worker's Compensation | $118.50 | ↓ -98% |
| Health Coalition Partners | PPO | $126.40 | ↓ -98% |
| InterGroup | Commercial | $126.40 | ↓ -98% |
| Focus Healthcare | Disability/PPO/Auto | $150.10 | ↓ -97% |
| UPMC Health Plan | Commercial | $953.03 | ↓ -82% |
| Cigna | Medicare | $3,556.90 | ↓ -34% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Graft xenmtrx sft rect 15x20cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $44,226.00 | $33.25 – $1,294.22 |
| UPMC Bedford | Everett | $4,772.40 | $33.25 – $1,294.22 |
| UPMC Cole | Coudersport | $3,100.80 | $82.84 – $348.80 |
| UPMC East | Monroeville | $26,360.40 | $23.37 – $1,294.22 |
| UPMC Hamot | Erie | $17,093.40 | $209.32 – $209.32 |
| UPMC Northwest | Seneca | $3,613.80 | $543.26 – $1,566.12 |
| UPMC Horizon-Greenville | Greenville | $11,944.20 | $533.47 – $1,294.22 |
| UPMC Jameson | New Castle | $22,132.80 | $213.01 – $1,294.22 |