Infectious agent nucleic acid quantification bk virus at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$547.80
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.
$913.00
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.
$42.34 with UPMC Work Partners vs $5,200.27 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 | $42.34 | ↓ -92% |
| Focus Healthcare | Workers Compensation | $46.77 | ↓ -91% |
| United Healthcare | Commercial | $58.88 | ↓ -89% |
| UPMC Health Plan | CHIP | $80.85 | ↓ -85% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $85.47 | ↓ -84% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $85.47 | ↓ -84% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $85.47 | ↓ -84% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $85.47 | ↓ -84% |
| UPMC Health Plan | Managed Medicare | $85.47 | ↓ -84% |
| Aetna of PA | Medicare | $88.89 | ↓ -84% |
| United Healthcare | Unison Advantage Non Special Needs | $89.74 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $92.31 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $92.31 | ↓ -83% |
| United Healthcare | Unison Advantage Special Needs | $94.02 | ↓ -83% |
| UPMC Health Plan | Partners/Select | $100.85 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $127.05 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $127.05 | ↓ -77% |
| Cigna | Commercial | $161.70 | ↓ -70% |
| Horizon Health Plan | Commercial | $161.70 | ↓ -70% |
| Multiplan | Auto/PPO/Worker's Compensation | $173.25 | ↓ -68% |
| InterGroup | Commercial | $184.80 | ↓ -66% |
| Health Coalition Partners | PPO | $184.80 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $184.90 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $184.90 | ↓ -66% |
| Focus Healthcare | Disability/PPO/Auto | $219.45 | ↓ -60% |
| Highmark BCBS of PA | Managed Care | $226.48 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Indemnity | $226.48 | ↓ -59% |
| UPMC Health Plan | Commercial | $232.16 | ↓ -58% |
| Cigna | Medicare | $5,200.27 | ↑ +849% |
Visitor-reported prices
Comments
Infectious agent nucleic acid quantification bk virus at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $427.20 | $42.34 – $569.60 |
| UPMC Bedford | Everett | $254.40 | $15.46 – $381.60 |
| UPMC Carlisle | Carlisle | $238.80 | $23.56 – $338.30 |
| UPMC Cole | Coudersport | $584.40 | $27.85 – $779.20 |
| UPMC Community Osteopathic | Harrisburg | $238.80 | $34.23 – $315.28 |
| UPMC East | Monroeville | $879.00 | $42.34 – $1,172.00 |
| UPMC Hamot | Erie | $719.40 | $42.34 – $113.70 |
| UPMC Northwest | Seneca | $385.80 | $38.85 – $46.27 |