Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$844.20
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.
$1,407.00
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.
$104.54 with Aetna vs $31,674.38 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 | $104.54 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $104.54 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison Kids | $109.30 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $132.10 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $140.94 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $148.37 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $161.97 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $413.89 | ↓ -51% |
| Focus Healthcare | Workers Compensation | $457.21 | ↓ -46% |
| UPMC Health Plan | Commercial | $468.70 | ↓ -44% |
| UPMC Health Plan | CHIP | $492.45 | ↓ -42% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $520.59 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $520.59 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $520.59 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $520.59 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $520.59 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $535.36 | ↓ -37% |
| Aetna of PA | Medicare | $541.41 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $546.62 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $562.24 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $572.65 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $614.30 | ↓ -27% |
| Cigna | Commercial | $984.90 | ↑ +17% |
| Horizon Health Plan | Commercial | $984.90 | ↑ +17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,022.24 | ↑ +21% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,022.24 | ↑ +21% |
| Multiplan | Auto/PPO/Worker's Compensation | $1,055.25 | ↑ +25% |
| InterGroup | Commercial | $1,125.60 | ↑ +33% |
| Health Coalition Partners | PPO | $1,125.60 | ↑ +33% |
| Highmark BCBS of PA | Managed Care | $1,252.13 | ↑ +48% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,252.13 | ↑ +48% |
| Focus Healthcare | Disability/PPO/Auto | $1,336.65 | ↑ +58% |
| Cigna | Medicare | $31,674.38 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,647.20 | $120.70 – $3,750.20 |
| UPMC Cole | Coudersport | $280.20 | $56.83 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $2,647.20 | $128.30 – $3,750.20 |
| UPMC East | Monroeville | $1,935.00 | $104.54 – $2,580.00 |
| UPMC Northwest | Seneca | $2,674.80 | $104.54 – $891.22 |
| UPMC Hanover | Hanover | $2,647.20 | $120.70 – $1,360.78 |
| UPMC Horizon-Greenville | Greenville | $2,674.80 | $104.54 – $1,140.40 |
| UPMC Jameson | New Castle | $2,674.80 | $104.54 – $1,145.85 |