Infectious agent nucleic acid quantification hiv-1 at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$538.80
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.
$898.00
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.
$84.10 with UPMC Work Partners vs $20,215.78 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 | $84.10 | ↓ -84% |
| Focus Healthcare | Workers Compensation | $92.90 | ↓ -83% |
| United Healthcare | Commercial | $116.96 | ↓ -78% |
| Aetna | CHIP/Medicaid | $127.70 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $127.70 | ↓ -76% |
| United Healthcare Community Plan for Families | Unison Kids | $133.50 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $161.35 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $172.16 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $181.23 | ↓ -66% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $197.84 | ↓ -63% |
| UPMC Health Plan | CHIP | $314.30 | ↓ -42% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $332.26 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $332.26 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $332.26 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $332.26 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $332.26 | ↓ -38% |
| Aetna of PA | Medicare | $345.55 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $348.87 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $358.84 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $358.84 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $365.49 | ↓ -32% |
| Highmark BCBS of PA | Managed Care - Social Mission | $367.29 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $367.29 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $392.07 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Indemnity | $449.89 | ↓ -17% |
| Highmark BCBS of PA | Managed Care | $449.89 | ↓ -17% |
| UPMC Health Plan | Commercial | $481.15 | ↓ -11% |
| Cigna | Commercial | $628.60 | ↑ +17% |
| Horizon Health Plan | Commercial | $628.60 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $673.50 | ↑ +25% |
| InterGroup | Commercial | $718.40 | ↑ +33% |
| Health Coalition Partners | PPO | $718.40 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $853.10 | ↑ +58% |
| Cigna | Medicare | $20,215.78 | ↑ +3652% |
Visitor-reported prices
Comments
Infectious agent nucleic acid quantification hiv-1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $607.80 | $84.10 – $810.40 |
| UPMC Bedford | Everett | $516.60 | $30.70 – $774.90 |
| UPMC Carlisle | Carlisle | $474.60 | $52.00 – $672.35 |
| UPMC Community Osteopathic | Harrisburg | $474.60 | $84.25 – $672.35 |
| UPMC East | Monroeville | $1,743.00 | $84.10 – $2,324.00 |
| UPMC Hamot | Erie | $582.60 | $84.10 – $225.86 |
| UPMC Northwest | Seneca | $754.20 | $77.18 – $133.50 |
| UPMC Hanover | Hanover | $474.60 | $52.00 – $158.11 |