Inj for ext venography at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$189.60
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.
$316.00
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.
$48.02 with Aetna vs $4,975.15 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $48.02 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $48.02 | ↓ -75% |
| United Healthcare Community Plan for Families | Unison Kids | $50.20 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $60.67 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $64.73 | ↓ -66% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $68.14 | ↓ -64% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $74.39 | ↓ -61% |
| UPMC Health Plan | CHIP | $77.35 | ↓ -59% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $81.77 | ↓ -57% |
| UPMC Health Plan | Managed Medicare | $81.77 | ↓ -57% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $81.77 | ↓ -57% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $81.77 | ↓ -57% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $81.77 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicare | $84.09 | ↓ -56% |
| Aetna of PA | Medicare | $85.04 | ↓ -55% |
| United Healthcare | Unison Advantage Non Special Needs | $85.86 | ↓ -55% |
| AmeriHealth Caritas | Medicare | $88.31 | ↓ -53% |
| United Healthcare | Unison Advantage Special Needs | $89.95 | ↓ -53% |
| UPMC Health Plan | Partners/Select | $96.49 | ↓ -49% |
| Cigna | Commercial | $154.70 | ↓ -18% |
| Horizon Health Plan | Commercial | $154.70 | ↓ -18% |
| Multiplan | Auto/PPO/Worker's Compensation | $165.75 | ↓ -13% |
| UPMC Work Partners | Workers Comp | $169.33 | ↓ -11% |
| Health Coalition Partners | PPO | $176.80 | ↓ -7% |
| InterGroup | Commercial | $176.80 | ↓ -7% |
| Focus Healthcare | Workers Compensation | $187.06 | ↓ -1% |
| UPMC Health Plan | Commercial | $209.03 | ↑ +10% |
| Focus Healthcare | Disability/PPO/Auto | $209.95 | ↑ +11% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,060.74 | ↑ +459% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,060.74 | ↑ +459% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,299.29 | ↑ +585% |
| Highmark BCBS of PA | Managed Care | $1,299.29 | ↑ +585% |
| Cigna | Medicare | $4,975.15 | ↑ +2524% |
Visitor-reported prices
Comments
Inj for ext venography at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $289.80 | $43.65 – $386.40 |
| UPMC Carlisle | Carlisle | $1,152.60 | $55.44 – $17,298.00 |
| UPMC Community Osteopathic | Harrisburg | $1,152.60 | $55.44 – $1,632.85 |
| UPMC East | Monroeville | $388.80 | $48.02 – $518.40 |
| UPMC Hamot | Erie | $672.00 | $48.02 – $118.71 |
| UPMC Northwest | Seneca | $306.60 | $48.02 – $241.22 |
| UPMC Hanover | Hanover | $1,152.60 | $55.44 – $161.36 |
| UPMC Horizon-Greenville | Greenville | $292.80 | $45.83 – $180.81 |