Inj proc elbow arthro at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$478.80
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.
$798.00
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.
$107.50 with UPMC Work Partners vs $9,004.80 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 | $107.50 | ↓ -78% |
| Focus Healthcare | Workers Compensation | $118.75 | ↓ -75% |
| UPMC Health Plan | CHIP | $140.00 | ↓ -71% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $148.00 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $148.00 | ↓ -69% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $148.00 | ↓ -69% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $148.00 | ↓ -69% |
| UPMC Health Plan | Managed Medicare | $148.00 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $152.20 | ↓ -68% |
| Aetna of PA | Medicare | $153.92 | ↓ -68% |
| United Healthcare | Unison Advantage Non Special Needs | $155.40 | ↓ -68% |
| AmeriHealth Caritas | Medicare | $159.84 | ↓ -67% |
| United Healthcare | Unison Advantage Special Needs | $162.80 | ↓ -66% |
| UPMC Health Plan | Partners/Select | $174.64 | ↓ -64% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $220.00 | ↓ -54% |
| Geisinger | Medicaid/CHIP | $220.00 | ↓ -54% |
| Horizon Health Plan | Commercial | $280.00 | ↓ -42% |
| Cigna | Commercial | $280.00 | ↓ -42% |
| UPMC Health Plan | Commercial | $296.58 | ↓ -38% |
| Multiplan | Auto/PPO/Worker's Compensation | $300.00 | ↓ -37% |
| United Healthcare | Commercial | $304.72 | ↓ -36% |
| Health Coalition Partners | PPO | $320.00 | ↓ -33% |
| InterGroup | Commercial | $320.00 | ↓ -33% |
| Focus Healthcare | Disability/PPO/Auto | $380.00 | ↓ -21% |
| Highmark BCBS of PA | Managed Care - Social Mission | $799.63 | ↑ +67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $799.63 | ↑ +67% |
| Highmark BCBS of PA | Managed Care | $979.45 | ↑ +105% |
| Highmark BCBS of PA | Commercial - Indemnity | $979.45 | ↑ +105% |
| Cigna | Medicare | $9,004.80 | ↑ +1781% |
Visitor-reported prices
Comments
Inj proc elbow arthro at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $278.40 | $107.50 – $402.75 |
| UPMC Carlisle | Carlisle | $461.40 | $45.85 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $461.40 | $45.85 – $653.65 |
| UPMC East | Monroeville | $543.60 | $131.35 – $724.80 |
| UPMC Hamot | Erie | $543.00 | $130.12 – $500.03 |
| UPMC Northwest | Seneca | $450.00 | $160.65 – $337.70 |
| UPMC Hanover | Hanover | $461.40 | $45.85 – $402.75 |
| UPMC Horizon-Greenville | Greenville | $428.40 | $160.65 – $253.13 |