Insert cath pleura with image at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$642.60
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.
$1,071.00
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.
$374.85 with UPMC Health Plan vs $24,110.35 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 | CHIP | $374.85 | ↓ -42% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $396.27 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $396.27 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $396.27 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $396.27 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $396.27 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $407.52 | ↓ -37% |
| Aetna of PA | Medicare | $412.12 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $416.08 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $427.97 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $435.90 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $467.60 | ↓ -27% |
| United Healthcare | Commercial | $524.68 | ↓ -18% |
| Geisinger | Medicaid/CHIP | $589.05 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $589.05 | ↓ -8% |
| Horizon Health Plan | Commercial | $749.70 | ↑ +17% |
| Cigna | Commercial | $749.70 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $803.25 | ↑ +25% |
| Health Coalition Partners | PPO | $856.80 | ↑ +33% |
| InterGroup | Commercial | $856.80 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $1,017.45 | ↑ +58% |
| UPMC Work Partners | Workers Comp | $1,283.30 | ↑ +100% |
| Focus Healthcare | Workers Compensation | $1,417.60 | ↑ +121% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,768.11 | ↑ +331% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,768.11 | ↑ +331% |
| UPMC Health Plan | Commercial | $2,868.86 | ↑ +346% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,390.61 | ↑ +428% |
| Highmark BCBS of PA | Managed Care | $3,390.61 | ↑ +428% |
| Cigna | Medicare | $24,110.35 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insert cath pleura with image at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,942.80 | $766.66 – $2,590.40 |
| UPMC Bedford | Everett | $2,611.20 | $534.35 – $3,916.80 |
| UPMC Carlisle | Carlisle | $10,384.20 | $817.33 – $14,710.95 |
| UPMC Cole | Coudersport | $396.00 | $79.00 – $1,283.30 |
| UPMC Community Osteopathic | Harrisburg | $10,384.20 | $1,016.56 – $14,710.95 |
| UPMC East | Monroeville | $2,764.80 | $773.96 – $3,686.40 |
| UPMC Hamot | Erie | $2,484.60 | $766.66 – $2,154.03 |
| UPMC Northwest | Seneca | $2,320.80 | $1,283.30 – $1,599.50 |