Immunoassay tumor antigen quantitative ca 125 at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$112.20
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.
$187.00
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 $4,209.74 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 | ↓ -82% |
| Focus Healthcare | Workers Compensation | $22.72 | ↓ -80% |
| Aetna | CHIP/Medicaid | $25.31 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $25.31 | ↓ -77% |
| United Healthcare Community Plan for Families | Unison Kids | $26.46 | ↓ -76% |
| United Healthcare | Commercial | $28.61 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $31.98 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $34.12 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $35.92 | ↓ -68% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $39.21 | ↓ -65% |
| UPMC Health Plan | Commercial | $60.41 | ↓ -46% |
| UPMC Health Plan | CHIP | $65.45 | ↓ -42% |
| UPMC Health Plan | Managed Medicare | $69.19 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $69.19 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $69.19 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $69.19 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $69.19 | ↓ -38% |
| Aetna of PA | Medicare | $71.96 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $72.65 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $74.73 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $74.73 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $76.11 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $81.64 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $89.82 | ↓ -20% |
| Highmark BCBS of PA | Managed Care - Social Mission | $89.82 | ↓ -20% |
| Highmark BCBS of PA | Commercial - Indemnity | $110.01 | ↓ -2% |
| Highmark BCBS of PA | Managed Care | $110.01 | ↓ -2% |
| Cigna | Commercial | $130.90 | ↑ +17% |
| Horizon Health Plan | Commercial | $130.90 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $140.25 | ↑ +25% |
| Health Coalition Partners | PPO | $149.60 | ↑ +33% |
| InterGroup | Commercial | $149.60 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $177.65 | ↑ +58% |
| Cigna | Medicare | $4,209.74 | ↑ +3652% |
Visitor-reported prices
Comments
Immunoassay tumor antigen quantitative ca 125 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $169.20 | $20.57 – $225.60 |
| UPMC Bedford | Everett | $133.20 | $7.51 – $199.80 |
| UPMC Carlisle | Carlisle | $116.40 | $20.60 – $164.90 |
| UPMC Cole | Coudersport | $193.20 | $13.53 – $257.60 |
| UPMC Community Osteopathic | Harrisburg | $116.40 | $20.60 – $164.90 |
| UPMC East | Monroeville | $427.20 | $20.57 – $569.60 |
| UPMC Hamot | Erie | $304.80 | $20.57 – $55.24 |
| UPMC Northwest | Seneca | $141.00 | $18.87 – $26.46 |