Hysterosalpingography s&i at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$363.00
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.
?
What you pay up front if you don't use insurance.
$605.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$25.55 with UPMC Health Plan vs $1,643.38 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $25.55 | ↓ -93% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $27.01 | ↓ -93% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $27.01 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $27.01 | ↓ -93% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $27.01 | ↓ -93% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $27.01 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $27.78 | ↓ -92% |
| Aetna of PA | Medicare | $28.09 | ↓ -92% |
| United Healthcare | Unison Advantage Non Special Needs | $28.36 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $29.17 | ↓ -92% |
| United Healthcare | Unison Advantage Special Needs | $29.71 | ↓ -92% |
| UPMC Health Plan | Partners/Select | $31.87 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $40.15 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $40.15 | ↓ -89% |
| Horizon Health Plan | Commercial | $51.10 | ↓ -86% |
| Cigna | Commercial | $51.10 | ↓ -86% |
| Multiplan | Auto/PPO/Worker's Compensation | $54.75 | ↓ -85% |
| InterGroup | Commercial | $58.40 | ↓ -84% |
| Health Coalition Partners | PPO | $58.40 | ↓ -84% |
| Focus Healthcare | Disability/PPO/Auto | $69.35 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $157.04 | ↓ -57% |
| Focus Healthcare | Workers Compensation | $173.47 | ↓ -52% |
| UPMC Health Plan | Commercial | $189.90 | ↓ -48% |
| United Healthcare | Commercial | $296.39 | ↓ -18% |
| Highmark BCBS of PA | Managed Care - Social Mission | $319.25 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $319.25 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Indemnity | $391.05 | ↑ +8% |
| Highmark BCBS of PA | Managed Care | $391.05 | ↑ +8% |
| Cigna | Medicare | $1,643.38 | ↑ +353% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Hysterosalpingography s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $349.20 | $26.50 – $465.60 |
| UPMC Carlisle | Carlisle | $547.80 | $34.72 – $776.05 |
| UPMC Cole | Coudersport | $213.00 | $90.06 – $284.00 |
| UPMC Community Osteopathic | Harrisburg | $547.80 | $34.72 – $776.05 |
| UPMC Hamot | Erie | $894.00 | $79.30 – $345.98 |
| UPMC Northwest | Seneca | $429.60 | $71.60 – $248.89 |
| UPMC Hanover | Hanover | $547.80 | $34.72 – $369.47 |
| UPMC Horizon-Greenville | Greenville | $339.60 | $71.83 – $248.89 |