healthcosts.net
Lower Back (Lumbar Spine) CT scan (without contrast) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$954.60
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.
?
What you pay up front if you don't use insurance.
$1,591.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$105.70 with UPMC Health Plan vs $6,798.62 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $105.70 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $111.74 | ↓ -88% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $111.74 | ↓ -88% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $111.74 | ↓ -88% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $111.74 | ↓ -88% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $111.74 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $114.91 | ↓ -88% |
| Aetna of PA | Medicare | $116.21 | ↓ -88% |
| United Healthcare | Unison Advantage Non Special Needs | $117.33 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $120.68 | ↓ -87% |
| United Healthcare | Unison Advantage Special Needs | $122.91 | ↓ -87% |
| UPMC Health Plan | Partners/Select | $131.85 | ↓ -86% |
| Aetna | CHIP/Medicaid | $152.45 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $152.45 | ↓ -84% |
| United Healthcare Community Plan for Families | Unison Kids | $159.38 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $192.63 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $205.53 | ↓ -78% |
| Horizon Health Plan | Commercial | $211.40 | ↓ -78% |
| Cigna | Commercial | $211.40 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $216.35 | ↓ -77% |
| Multiplan | Auto/PPO/Worker's Compensation | $226.50 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $236.19 | ↓ -75% |
| Health Coalition Partners | PPO | $241.60 | ↓ -75% |
| InterGroup | Commercial | $241.60 | ↓ -75% |
| Focus Healthcare | Disability/PPO/Auto | $286.90 | ↓ -70% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $354.73 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $354.73 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Indemnity | $434.51 | ↓ -54% |
| Highmark BCBS of PA | Managed Care | $434.51 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $641.23 | ↓ -33% |
| United Healthcare | Commercial | $701.00 | ↓ -27% |
| Focus Healthcare | Workers Compensation | $708.34 | ↓ -26% |
| UPMC Health Plan | Commercial | $757.98 | ↓ -21% |
| Cigna | Medicare | $6,798.62 | ↑ +612% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) CT scan (without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $1,863.00 | $101.65 – $2,484.00 |
| UPMC Passavant-McCandless | Pittsburgh | $1,795.80 | $94.21 – $2,544.05 |
| UPMC Hamot | Erie | $1,906.80 | $115.76 – $2,224.60 |
| UPMC Carlisle | Carlisle | $876.00 | $100.71 – $1,241.00 |
| UPMC Altoona | Altoona | $1,405.80 | $88.10 – $1,874.40 |
| UPMC Bedford | Everett | $847.80 | $36.58 – $1,271.70 |
| UPMC Cole | Coudersport | $771.60 | $145.52 – $1,028.80 |
| UPMC Community Osteopathic | Harrisburg | $876.00 | $103.55 – $1,241.00 |