Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$743.40
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.
$1,239.00
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.
$23.10 with UPMC Health Plan vs $23,457.50 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 | $23.10 | ↓ -97% |
| Aetna | CHIP/Medicaid | $23.10 | ↓ -97% |
| United Healthcare Community Plan for Families | Unison Kids | $24.15 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $29.19 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $31.14 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $32.78 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $35.79 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $149.53 | ↓ -80% |
| Focus Healthcare | Workers Compensation | $165.18 | ↓ -78% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $312.69 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $312.69 | ↓ -58% |
| UPMC Health Plan | CHIP | $364.70 | ↓ -51% |
| Highmark BCBS of PA | Managed Care | $383.01 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Indemnity | $383.01 | ↓ -48% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $385.54 | ↓ -48% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $385.54 | ↓ -48% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $385.54 | ↓ -48% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $385.54 | ↓ -48% |
| UPMC Health Plan | Managed Medicare | $385.54 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicare | $396.48 | ↓ -47% |
| Aetna of PA | Medicare | $400.96 | ↓ -46% |
| United Healthcare | Unison Advantage Non Special Needs | $404.82 | ↓ -46% |
| AmeriHealth Caritas | Medicare | $416.38 | ↓ -44% |
| United Healthcare | Unison Advantage Special Needs | $424.09 | ↓ -43% |
| UPMC Health Plan | Partners/Select | $454.94 | ↓ -39% |
| UPMC Health Plan | Commercial | $480.91 | ↓ -35% |
| United Healthcare | Commercial | $510.48 | ↓ -31% |
| Cigna | Commercial | $729.40 | ↓ -2% |
| Horizon Health Plan | Commercial | $729.40 | ↓ -2% |
| Multiplan | Auto/PPO/Worker's Compensation | $781.50 | ↑ +5% |
| Health Coalition Partners | PPO | $833.60 | ↑ +12% |
| InterGroup | Commercial | $833.60 | ↑ +12% |
| Focus Healthcare | Disability/PPO/Auto | $989.90 | ↑ +33% |
| Cigna | Medicare | $23,457.50 | ↑ +3055% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $820.80 | $21.00 – $1,094.40 |
| UPMC Bedford | Everett | $454.20 | $22.05 – $681.30 |
| UPMC Carlisle | Carlisle | $948.00 | $26.67 – $1,343.00 |
| UPMC Cole | Coudersport | $478.20 | $19.40 – $149.53 |
| UPMC Community Osteopathic | Harrisburg | $948.00 | $26.67 – $1,343.00 |
| UPMC East | Monroeville | $856.80 | $23.10 – $1,142.40 |
| UPMC Hamot | Erie | $879.00 | $23.10 – $960.26 |
| UPMC Northwest | Seneca | $611.40 | $23.10 – $693.24 |