Insert pessary/other device at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$274.80
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.
$458.00
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.
$16.66 with UPMC Health Plan vs $10,310.50 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 | $16.66 | ↓ -94% |
| Aetna | CHIP/Medicaid | $16.66 | ↓ -94% |
| United Healthcare Community Plan for Families | Unison Kids | $17.42 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $21.06 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $22.47 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $23.65 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $25.82 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $100.83 | ↓ -63% |
| Focus Healthcare | Workers Compensation | $111.39 | ↓ -59% |
| UPMC Health Plan | CHIP | $160.30 | ↓ -42% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $169.46 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $169.46 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $169.46 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $169.46 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $169.46 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $174.27 | ↓ -37% |
| Aetna of PA | Medicare | $176.24 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $177.93 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $183.02 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $186.41 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $199.96 | ↓ -27% |
| UPMC Health Plan | Commercial | $277.36 | ↑ +1% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $313.82 | ↑ +14% |
| Highmark BCBS of PA | Managed Care - Social Mission | $313.82 | ↑ +14% |
| Cigna | Commercial | $320.60 | ↑ +17% |
| Horizon Health Plan | Commercial | $320.60 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $343.50 | ↑ +25% |
| Health Coalition Partners | PPO | $366.40 | ↑ +33% |
| InterGroup | Commercial | $366.40 | ↑ +33% |
| Highmark BCBS of PA | Managed Care | $384.39 | ↑ +40% |
| Highmark BCBS of PA | Commercial - Indemnity | $384.39 | ↑ +40% |
| Focus Healthcare | Disability/PPO/Auto | $435.10 | ↑ +58% |
| Cigna | Medicare | $10,310.50 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insert pessary/other device at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $750.60 | $15.15 – $1,000.80 |
| UPMC East | Monroeville | $690.00 | $16.66 – $920.00 |
| UPMC Magee | Pittsburgh | $421.80 | $16.66 – $207.13 |
| UPMC McKeesport | Mckeesport | $647.40 | $16.66 – $210.97 |
| UPMC Wellsboro | Wellsboro | $907.20 | $16.66 – $100.83 |
| UPMC Williamsport | Williamsport | $859.20 | $16.66 – $205.22 |
| Uniontown Hospital | Uniontown | $274.00 | $16.67 – $407.01 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $196.23 – $8,754.00 |