Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$18.00
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.
$30.00
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.
$0.00 with UPMC Health Plan vs $495.26 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 | Commercial | $0.00 | ↓ -100% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $0.00 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.00 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $0.00 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Indemnity | $0.01 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.01 | ↓ -100% |
| Highmark BCBS of PA | Managed Care - Social Mission | $0.01 | ↓ -100% |
| Highmark BCBS of PA | Managed Care | $0.01 | ↓ -100% |
| United Healthcare | Commercial | $0.02 | ↓ -100% |
| UPMC Health Plan | CHIP | $7.70 | ↓ -57% |
| UPMC Health Plan | Managed Medicare | $8.14 | ↓ -55% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $8.14 | ↓ -55% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $8.14 | ↓ -55% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $8.14 | ↓ -55% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $8.14 | ↓ -55% |
| Highmark Wholecare (prev Gateway) | Medicare | $8.37 | ↓ -54% |
| Aetna of PA | Medicare | $8.47 | ↓ -53% |
| United Healthcare | Unison Advantage Non Special Needs | $8.55 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $8.79 | ↓ -51% |
| United Healthcare | Unison Advantage Special Needs | $8.95 | ↓ -50% |
| UPMC Health Plan | Partners/Select | $9.61 | ↓ -47% |
| UPMC Work Partners | Workers Comp | $11.67 | ↓ -35% |
| Focus Healthcare | Workers Compensation | $12.89 | ↓ -28% |
| Cigna | Commercial | $15.40 | ↓ -14% |
| Horizon Health Plan | Commercial | $15.40 | ↓ -14% |
| Multiplan | Auto/PPO/Worker's Compensation | $16.50 | ↓ -8% |
| Health Coalition Partners | PPO | $17.60 | ↓ -2% |
| InterGroup | Commercial | $17.60 | ↓ -2% |
| Focus Healthcare | Disability/PPO/Auto | $20.90 | ↑ +16% |
| Cigna | Medicare | $495.26 | ↑ +2651% |
Visitor-reported prices
Comments
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4.20 | $0.00 – $5.95 |
| UPMC Community Osteopathic | Harrisburg | $4.20 | $0.00 – $5.95 |
| UPMC Hanover | Hanover | $4.20 | $0.00 – $0.00 |
| UPMC Lititz | Lititz | $4.20 | $0.00 – $0.00 |
| UPMC Memorial | York | $4.20 | $0.00 – $0.01 |
| UPMC Somerset | Somerset | $4.20 | $0.00 – $0.00 |
| WellSpan Chambersburg Hospital | Chambersburg | $32.00 | $0.01 – $70.00 |
| WellSpan Ephrata Community Hospital | Ephrata | $100.20 | $6.00 – $70.00 |