Injection carpal tunnel therapeutic (both sides) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$471.60
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.
$786.00
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.
$54.76 with UPMC Health Plan vs $7,473.98 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 Health Plan | Managed Medicaid | $54.76 | ↓ -88% |
| Aetna | CHIP/Medicaid | $54.76 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison Kids | $57.25 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $69.19 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $73.82 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $77.71 | ↓ -84% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $84.84 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $116.19 | ↓ -75% |
| UPMC Health Plan | CHIP | $116.20 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $122.84 | ↓ -74% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $122.84 | ↓ -74% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $122.84 | ↓ -74% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $122.84 | ↓ -74% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $122.84 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicare | $126.33 | ↓ -73% |
| Aetna of PA | Medicare | $127.75 | ↓ -73% |
| Focus Healthcare | Workers Compensation | $128.34 | ↓ -73% |
| United Healthcare | Unison Advantage Non Special Needs | $128.98 | ↓ -73% |
| AmeriHealth Caritas | Medicare | $132.67 | ↓ -72% |
| United Healthcare | Unison Advantage Special Needs | $135.12 | ↓ -71% |
| UPMC Health Plan | Partners/Select | $144.95 | ↓ -69% |
| Horizon Health Plan | Commercial | $232.40 | ↓ -51% |
| Cigna | Commercial | $232.40 | ↓ -51% |
| Multiplan | Auto/PPO/Worker's Compensation | $249.00 | ↓ -47% |
| InterGroup | Commercial | $265.60 | ↓ -44% |
| Health Coalition Partners | PPO | $265.60 | ↓ -44% |
| Focus Healthcare | Disability/PPO/Auto | $315.40 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $344.20 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $344.20 | ↓ -27% |
| United Healthcare | Commercial | $385.06 | ↓ -18% |
| UPMC Health Plan | Commercial | $400.66 | ↓ -15% |
| Highmark BCBS of PA | Commercial - Indemnity | $421.61 | ↓ -11% |
| Highmark BCBS of PA | Managed Care | $421.61 | ↓ -11% |
| Cigna | Medicare | $7,473.98 | ↑ +1485% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection carpal tunnel therapeutic (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $293.40 | $49.78 – $391.20 |
| UPMC Bedford | Everett | $621.00 | $52.27 – $931.50 |
| UPMC Carlisle | Carlisle | $596.40 | $63.22 – $844.90 |
| UPMC Cole | Coudersport | $86.40 | $18.57 – $116.19 |
| UPMC Community Osteopathic | Harrisburg | $596.40 | $63.22 – $844.90 |
| UPMC Hanover | Hanover | $596.40 | $63.22 – $451.20 |
| UPMC Lititz | Lititz | $596.40 | $63.22 – $453.63 |
| UPMC Magee | Pittsburgh | $642.00 | $54.76 – $303.94 |