In situ hybridization per specimen initial single probe stain at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$760.80
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.
$1,268.00
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.
$38.10 with United Healthcare vs $28,545.22 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 |
|---|---|---|---|
| United Healthcare | Commercial | $38.10 | ↓ -95% |
| UPMC Health Plan | Commercial | $48.41 | ↓ -94% |
| Aetna | CHIP/Medicaid | $57.87 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $57.87 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison Kids | $60.50 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $73.12 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $78.02 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $82.13 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $89.66 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $145.17 | ↓ -81% |
| Focus Healthcare | Workers Compensation | $160.36 | ↓ -79% |
| UPMC Health Plan | CHIP | $443.80 | ↓ -42% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $469.16 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $469.16 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $469.16 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $469.16 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $469.16 | ↓ -38% |
| Aetna of PA | Medicare | $487.93 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $492.62 | ↓ -35% |
| Highmark Wholecare (prev Gateway) | Medicare | $506.69 | ↓ -33% |
| AmeriHealth Caritas | Medicare | $506.69 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $516.08 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $553.61 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $563.50 | ↓ -26% |
| Highmark BCBS of PA | Managed Care - Social Mission | $563.50 | ↓ -26% |
| Highmark BCBS of PA | Managed Care | $690.22 | ↓ -9% |
| Highmark BCBS of PA | Commercial - Indemnity | $690.22 | ↓ -9% |
| Cigna | Commercial | $887.60 | ↑ +17% |
| Horizon Health Plan | Commercial | $887.60 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $951.00 | ↑ +25% |
| InterGroup | Commercial | $1,014.40 | ↑ +33% |
| Health Coalition Partners | PPO | $1,014.40 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $1,204.60 | ↑ +58% |
| Cigna | Medicare | $28,545.22 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
In situ hybridization per specimen initial single probe stain at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $275.40 | $26.23 – $367.20 |
| UPMC Bedford | Everett | $76.20 | $18.33 – $145.17 |
| UPMC Carlisle | Carlisle | $337.20 | $15.12 – $477.70 |
| UPMC Cole | Coudersport | $410.40 | $53.00 – $547.20 |
| UPMC Community Osteopathic | Harrisburg | $337.20 | $15.12 – $477.70 |
| UPMC East | Monroeville | $202.80 | $18.09 – $270.40 |
| UPMC Hamot | Erie | $295.20 | $26.23 – $213.04 |
| UPMC Northwest | Seneca | $141.00 | $18.25 – $171.54 |