Human epididymis protein 4 (he4) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$91.20
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.
$152.00
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.
$20.57 with UPMC Work Partners vs $3,421.82 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 | $20.57 | ↓ -77% |
| Focus Healthcare | Workers Compensation | $22.72 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $26.23 | ↓ -71% |
| Aetna | CHIP/Medicaid | $26.23 | ↓ -71% |
| United Healthcare Community Plan for Families | Unison Kids | $27.43 | ↓ -70% |
| United Healthcare | Commercial | $28.61 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $33.15 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicaid | $35.37 | ↓ -61% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $37.23 | ↓ -59% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $40.65 | ↓ -55% |
| UPMC Health Plan | CHIP | $53.20 | ↓ -42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $56.24 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $56.24 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $56.24 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $56.24 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $56.24 | ↓ -38% |
| Aetna of PA | Medicare | $58.49 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $59.05 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $60.74 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $60.74 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $61.86 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $66.36 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $89.82 | ↓ -2% |
| Highmark BCBS of PA | Managed Care - Social Mission | $89.82 | ↓ -2% |
| UPMC Health Plan | Commercial | $95.30 | ↑ +4% |
| Cigna | Commercial | $106.40 | ↑ +17% |
| Horizon Health Plan | Commercial | $106.40 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $110.01 | ↑ +21% |
| Highmark BCBS of PA | Managed Care | $110.01 | ↑ +21% |
| Multiplan | Auto/PPO/Worker's Compensation | $114.00 | ↑ +25% |
| Health Coalition Partners | PPO | $121.60 | ↑ +33% |
| InterGroup | Commercial | $121.60 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $144.40 | ↑ +58% |
| Cigna | Medicare | $3,421.82 | ↑ +3652% |
Visitor-reported prices
Comments
Human epididymis protein 4 (he4) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $276.00 | $20.57 – $368.00 |
| UPMC Bedford | Everett | $295.80 | $7.51 – $443.70 |
| UPMC Northwest | Seneca | $345.60 | $18.87 – $27.43 |
| UPMC Magee | Pittsburgh | $176.40 | $19.48 – $55.94 |
| UPMC Mercy | Pittsburgh | $168.00 | $17.35 – $55.41 |
| UPMC Muncy | Muncy | $166.20 | $20.57 – $40.65 |
| UPMC Passavant-McCandless | Pittsburgh | $204.00 | $19.34 – $55.94 |
| UPMC Presbyterian | Pittsburgh | $180.60 | $20.57 – $55.94 |