Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$34.20
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.
$57.00
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.
$0.10 with PA Health & Wellness vs $270.14 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 | $0.10 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.10 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $0.10 | ↓ -100% |
| UPMC Health Plan | Commercial | $0.12 | ↓ -100% |
| United Healthcare | Commercial | $0.15 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Indemnity | $0.48 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.48 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $0.48 | ↓ -99% |
| Highmark BCBS of PA | Managed Care | $0.48 | ↓ -99% |
| UPMC Health Plan | CHIP | $4.20 | ↓ -88% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $4.44 | ↓ -87% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $4.44 | ↓ -87% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $4.44 | ↓ -87% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $4.44 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $4.44 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.57 | ↓ -87% |
| Aetna of PA | Medicare | $4.62 | ↓ -86% |
| United Healthcare | Unison Advantage Non Special Needs | $4.66 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $4.80 | ↓ -86% |
| United Healthcare | Unison Advantage Special Needs | $4.88 | ↓ -86% |
| UPMC Health Plan | Partners/Select | $5.24 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $6.37 | ↓ -81% |
| Focus Healthcare | Workers Compensation | $7.03 | ↓ -79% |
| Cigna | Commercial | $8.40 | ↓ -75% |
| Horizon Health Plan | Commercial | $8.40 | ↓ -75% |
| Multiplan | Auto/PPO/Worker's Compensation | $9.00 | ↓ -74% |
| Health Coalition Partners | PPO | $9.60 | ↓ -72% |
| InterGroup | Commercial | $9.60 | ↓ -72% |
| Focus Healthcare | Disability/PPO/Auto | $11.40 | ↓ -67% |
| Cigna | Medicare | $270.14 | ↑ +690% |
Visitor-reported prices
Comments
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $8.00 | $0.02 – $0.46 |
| UPMC Carlisle | Carlisle | $22.80 | $0.10 – $2.72 |
| UPMC Cole | Coudersport | $63.00 | $0.10 – $4.80 |
| UPMC Community Osteopathic | Harrisburg | $22.80 | $0.10 – $2.72 |
| UPMC Hamot | Erie | $36.80 | $0.06 – $3.89 |
| UPMC Hanover | Hanover | $22.80 | $0.10 – $2.72 |
| UPMC Horizon-Greenville | Greenville | $13.20 | $0.06 – $3.57 |
| UPMC Lititz | Lititz | $22.80 | $0.10 – $2.72 |