healthcosts.net
Knee X-ray at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$278.40
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.
$464.00
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.
$12.95 with UPMC Health Plan vs $832.94 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 | $12.95 | ↓ -95% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $13.69 | ↓ -95% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $13.69 | ↓ -95% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $13.69 | ↓ -95% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $13.69 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $13.69 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $14.08 | ↓ -95% |
| Aetna of PA | Medicare | $14.24 | ↓ -95% |
| United Healthcare | Unison Advantage Non Special Needs | $14.37 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $14.79 | ↓ -95% |
| United Healthcare | Unison Advantage Special Needs | $15.06 | ↓ -95% |
| UPMC Health Plan | Partners/Select | $16.15 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $20.35 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $20.35 | ↓ -93% |
| Cigna | Commercial | $25.90 | ↓ -91% |
| Horizon Health Plan | Commercial | $25.90 | ↓ -91% |
| Multiplan | Auto/PPO/Worker's Compensation | $27.75 | ↓ -90% |
| Health Coalition Partners | PPO | $29.60 | ↓ -89% |
| InterGroup | Commercial | $29.60 | ↓ -89% |
| Focus Healthcare | Disability/PPO/Auto | $35.15 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $82.10 | ↓ -71% |
| Focus Healthcare | Workers Compensation | $90.70 | ↓ -67% |
| UPMC Health Plan | Commercial | $99.59 | ↓ -64% |
| United Healthcare | Commercial | $115.13 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $145.97 | ↓ -48% |
| Highmark BCBS of PA | Managed Care - Social Mission | $145.97 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Indemnity | $178.79 | ↓ -36% |
| Highmark BCBS of PA | Managed Care | $178.79 | ↓ -36% |
| Cigna | Medicare | $832.94 | ↑ +199% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Knee X-ray at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $436.20 | $37.20 – $581.60 |
| UPMC Passavant-McCandless | Pittsburgh | $419.40 | $37.53 – $594.15 |
| UPMC Hamot | Erie | $473.40 | $25.96 – $552.30 |
| UPMC Carlisle | Carlisle | $262.80 | $29.37 – $589.04 |
| UPMC Altoona | Altoona | $186.60 | $40.52 – $248.80 |
| UPMC Bedford | Everett | $133.20 | $36.58 – $199.80 |
| UPMC Cole | Coudersport | $215.40 | $42.48 – $287.20 |
| UPMC Community Osteopathic | Harrisburg | $262.80 | $29.37 – $372.30 |