Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$129.00
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.
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What you pay up front if you don't use insurance.
$215.00
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.
$36.84 with UPMC Work Partners vs $2,949.07 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 | $36.84 | ↓ -71% |
| Focus Healthcare | Workers Compensation | $40.70 | ↓ -68% |
| Aetna | CHIP/Medicaid | $44.24 | ↓ -66% |
| UPMC Health Plan | Managed Medicaid | $44.24 | ↓ -66% |
| UPMC Health Plan | CHIP | $45.85 | ↓ -64% |
| United Healthcare Community Plan for Families | Unison Kids | $46.25 | ↓ -64% |
| United Healthcare | Commercial | $48.24 | ↓ -63% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $48.47 | ↓ -62% |
| UPMC Health Plan | Managed Medicare | $48.47 | ↓ -62% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $48.47 | ↓ -62% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $48.47 | ↓ -62% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $48.47 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicare | $49.85 | ↓ -61% |
| Aetna of PA | Medicare | $50.41 | ↓ -61% |
| United Healthcare | Unison Advantage Non Special Needs | $50.89 | ↓ -61% |
| AmeriHealth Caritas | Medicare | $52.35 | ↓ -59% |
| United Healthcare | Unison Advantage Special Needs | $53.32 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $55.90 | ↓ -57% |
| UPMC Health Plan | Partners/Select | $57.19 | ↓ -56% |
| Highmark Wholecare (prev Gateway) | Medicaid | $59.65 | ↓ -54% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $62.79 | ↓ -51% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $68.54 | ↓ -47% |
| Cigna | Commercial | $91.70 | ↓ -29% |
| Horizon Health Plan | Commercial | $91.70 | ↓ -29% |
| Multiplan | Auto/PPO/Worker's Compensation | $98.25 | ↓ -24% |
| Health Coalition Partners | PPO | $104.80 | ↓ -19% |
| InterGroup | Commercial | $104.80 | ↓ -19% |
| UPMC Health Plan | Commercial | $109.36 | ↓ -15% |
| Focus Healthcare | Disability/PPO/Auto | $124.45 | ↓ -4% |
| Highmark BCBS of PA | Managed Care - Social Mission | $160.86 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $160.86 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Indemnity | $197.03 | ↑ +53% |
| Highmark BCBS of PA | Managed Care | $197.03 | ↑ +53% |
| Cigna | Medicare | $2,949.07 | ↑ +2186% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $349.80 | $36.84 – $466.40 |
| UPMC Bedford | Everett | $580.80 | $13.45 – $871.20 |
| UPMC Carlisle | Carlisle | $207.60 | $36.90 – $294.10 |
| UPMC Cole | Coudersport | $163.80 | $24.23 – $218.40 |
| UPMC Community Osteopathic | Harrisburg | $207.60 | $36.90 – $294.10 |
| UPMC East | Monroeville | $350.40 | $36.84 – $467.20 |
| UPMC Hamot | Erie | $293.40 | $36.84 – $93.44 |
| UPMC Northwest | Seneca | $547.80 | $33.80 – $46.25 |