Irrigation implantable venous access device for drug delivery systems at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$154.80
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.
$258.00
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.
$21.43 with UPMC Health Plan vs $2,678.93 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 | $21.43 | ↓ -86% |
| Aetna | CHIP/Medicaid | $21.43 | ↓ -86% |
| United Healthcare Community Plan for Families | Unison Kids | $22.40 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $27.08 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28.89 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $30.41 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $33.20 | ↓ -79% |
| UPMC Health Plan | CHIP | $41.65 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $42.65 | ↓ -72% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $44.03 | ↓ -72% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $44.03 | ↓ -72% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $44.03 | ↓ -72% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $44.03 | ↓ -72% |
| UPMC Health Plan | Managed Medicare | $44.03 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicare | $45.28 | ↓ -71% |
| Aetna of PA | Medicare | $45.79 | ↓ -70% |
| United Healthcare | Unison Advantage Non Special Needs | $46.23 | ↓ -70% |
| Focus Healthcare | Workers Compensation | $47.11 | ↓ -70% |
| AmeriHealth Caritas | Medicare | $47.55 | ↓ -69% |
| United Healthcare | Unison Advantage Special Needs | $48.43 | ↓ -69% |
| UPMC Health Plan | Partners/Select | $51.96 | ↓ -66% |
| UPMC Health Plan | Commercial | $63.01 | ↓ -59% |
| Horizon Health Plan | Commercial | $83.30 | ↓ -46% |
| Cigna | Commercial | $83.30 | ↓ -46% |
| Multiplan | Auto/PPO/Worker's Compensation | $89.25 | ↓ -42% |
| Health Coalition Partners | PPO | $95.20 | ↓ -39% |
| InterGroup | Commercial | $95.20 | ↓ -39% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $104.06 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $104.06 | ↓ -33% |
| Focus Healthcare | Disability/PPO/Auto | $113.05 | ↓ -27% |
| United Healthcare | Commercial | $126.39 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Indemnity | $127.46 | ↓ -18% |
| Highmark BCBS of PA | Managed Care | $127.46 | ↓ -18% |
| Cigna | Medicare | $2,678.93 | ↑ +1631% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Irrigation implantable venous access device for drug delivery systems at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $166.80 | $19.48 – $222.40 |
| UPMC Bedford | Everett | $149.40 | $20.43 – $224.10 |
| UPMC Carlisle | Carlisle | $136.80 | $24.74 – $193.80 |
| UPMC Cole | Coudersport | $112.20 | $15.25 – $46.20 |
| UPMC Community Osteopathic | Harrisburg | $136.80 | $24.74 – $193.80 |
| UPMC East | Monroeville | $269.40 | $21.43 – $359.20 |
| UPMC Hamot | Erie | $158.40 | $21.43 – $81.67 |
| UPMC Northwest | Seneca | $147.60 | $21.43 – $59.46 |