Hc fl sm bowel enteroclss tube w kub double contrast at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$606.00
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.
$1,010.00
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.
$31.15 with UPMC Health Plan vs $2,003.57 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 | CHIP | $31.15 | ↓ -95% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $32.93 | ↓ -95% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $32.93 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $32.93 | ↓ -95% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $32.93 | ↓ -95% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $32.93 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $33.86 | ↓ -94% |
| Aetna of PA | Medicare | $34.25 | ↓ -94% |
| United Healthcare | Unison Advantage Non Special Needs | $34.58 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $35.56 | ↓ -94% |
| United Healthcare | Unison Advantage Special Needs | $36.22 | ↓ -94% |
| UPMC Health Plan | Partners/Select | $38.86 | ↓ -94% |
| Cigna | Commercial | $62.30 | ↓ -90% |
| Horizon Health Plan | Commercial | $62.30 | ↓ -90% |
| Multiplan | Auto/PPO/Worker's Compensation | $66.75 | ↓ -89% |
| Aetna | CHIP/Medicaid | $69.58 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $69.58 | ↓ -89% |
| InterGroup | Commercial | $71.20 | ↓ -88% |
| Health Coalition Partners | PPO | $71.20 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison Kids | $72.74 | ↓ -88% |
| Focus Healthcare | Disability/PPO/Auto | $84.55 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $87.91 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $93.80 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $98.74 | ↓ -84% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $107.79 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $172.10 | ↓ -72% |
| Focus Healthcare | Workers Compensation | $190.11 | ↓ -69% |
| UPMC Health Plan | Commercial | $224.25 | ↓ -63% |
| United Healthcare | Commercial | $494.80 | ↓ -18% |
| Highmark BCBS of PA | Managed Care - Social Mission | $727.29 | ↑ +20% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $727.29 | ↑ +20% |
| Highmark BCBS of PA | Commercial - Indemnity | $890.84 | ↑ +47% |
| Highmark BCBS of PA | Managed Care | $890.84 | ↑ +47% |
| Cigna | Medicare | $2,003.57 | ↑ +231% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Hc fl sm bowel enteroclss tube w kub double contrast at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $1,272.60 | $50.42 – $199.24 |
| UPMC Wellsboro | Wellsboro | $1,539.20 | $50.42 – $172.10 |
| Uniontown Hospital | Uniontown | $418.50 | $40.15 – $353.11 |
| WellSpan Good Samaritan Hospital | Lebanon | $867.20 | $79.06 – $1,006.60 |
| WellSpan Gettysburg Hospital | Gettysburg | $867.20 | $49.24 – $1,006.60 |