Hc pet myocardial imaging metabolic eval single study at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$4,185.00
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.
$6,975.00
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.
$1,594.52 with Aetna vs $157,021.20 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $1,594.52 | ↓ -62% |
| UPMC Health Plan | Managed Medicaid | $1,594.52 | ↓ -62% |
| United Healthcare Community Plan for Families | Unison Kids | $1,666.99 | ↓ -60% |
| Geisinger | Medicaid/CHIP | $2,014.74 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,149.70 | ↓ -49% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,262.91 | ↓ -46% |
| UPMC Health Plan | CHIP | $2,441.25 | ↓ -42% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,470.34 | ↓ -41% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $2,580.75 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $2,580.75 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2,580.75 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $2,580.75 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $2,580.75 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,653.99 | ↓ -37% |
| Aetna of PA | Medicare | $2,683.98 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $2,709.79 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $2,787.21 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $2,838.82 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $3,045.28 | ↓ -27% |
| United Healthcare | Commercial | $3,108.00 | ↓ -26% |
| UPMC Health Plan | Commercial | $3,836.25 | ↓ -8% |
| Horizon Health Plan | Commercial | $4,882.50 | ↑ +17% |
| Cigna | Commercial | $4,882.50 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $5,231.25 | ↑ +25% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,345.02 | ↑ +28% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,345.02 | ↑ +28% |
| InterGroup | Commercial | $5,580.00 | ↑ +33% |
| Health Coalition Partners | PPO | $5,580.00 | ↑ +33% |
| Highmark BCBS of PA | Managed Care | $6,547.03 | ↑ +56% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,547.03 | ↑ +56% |
| Focus Healthcare | Disability/PPO/Auto | $6,626.25 | ↑ +58% |
| Cigna | Medicare | $157,021.20 | ↑ +3652% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Focus Healthcare | Workers Compensation | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Hc pet myocardial imaging metabolic eval single study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,972.20 | $800.00 – $7,043.95 |
| UPMC Cole | Coudersport | $5,625.00 | $1,220.15 – $7,500.00 |
| UPMC Community Osteopathic | Harrisburg | $4,972.20 | $1,271.33 – $7,043.95 |
| UPMC Hanover | Hanover | $4,972.20 | $800.00 – $1,995.41 |
| UPMC Lititz | Lititz | $4,972.20 | $800.00 – $2,006.18 |
| UPMC Memorial | York | $4,972.20 | $800.00 – $7,091.44 |
| UPMC Presbyterian | Pittsburgh | $12,446.40 | $1,344.19 – $2,256.53 |
| UPMC Somerset | Somerset | $4,972.20 | $1,232.17 – $2,014.74 |