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Lower Back (Lumbar Spine) MRI (without contrast) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$2,338.80
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.
$3,898.00
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.
$93.80 with UPMC Health Plan vs $6,033.22 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 | $93.80 | ↓ -96% |
| UPMC Health Plan | Managed Medicare | $99.16 | ↓ -96% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $99.16 | ↓ -96% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $99.16 | ↓ -96% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $99.16 | ↓ -96% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $99.16 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $101.97 | ↓ -96% |
| Aetna of PA | Medicare | $103.13 | ↓ -96% |
| United Healthcare | Unison Advantage Non Special Needs | $104.12 | ↓ -96% |
| AmeriHealth Caritas | Medicare | $107.09 | ↓ -95% |
| United Healthcare | Unison Advantage Special Needs | $109.08 | ↓ -95% |
| UPMC Health Plan | Partners/Select | $117.01 | ↓ -95% |
| Horizon Health Plan | Commercial | $187.60 | ↓ -92% |
| Cigna | Commercial | $187.60 | ↓ -92% |
| Multiplan | Auto/PPO/Worker's Compensation | $201.00 | ↓ -91% |
| Health Coalition Partners | PPO | $214.40 | ↓ -91% |
| InterGroup | Commercial | $214.40 | ↓ -91% |
| Focus Healthcare | Disability/PPO/Auto | $254.60 | ↓ -89% |
| Aetna | CHIP/Medicaid | $281.76 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $281.76 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison Kids | $294.57 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $356.02 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $379.87 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $399.88 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $436.53 | ↓ -81% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $526.64 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $526.64 | ↓ -77% |
| Highmark BCBS of PA | Commercial - Indemnity | $645.07 | ↓ -72% |
| Highmark BCBS of PA | Managed Care | $645.07 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $1,227.91 | ↓ -47% |
| Focus Healthcare | Workers Compensation | $1,356.41 | ↓ -42% |
| United Healthcare | Commercial | $1,357.00 | ↓ -42% |
| UPMC Health Plan | Commercial | $1,435.09 | ↓ -39% |
| Cigna | Medicare | $6,033.22 | ↑ +158% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) MRI (without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,801.60 | $214.16 – $5,385.60 |
| UPMC East | Monroeville | $3,940.80 | $231.07 – $5,254.40 |
| UPMC Hamot | Erie | $1,623.00 | $183.52 – $1,893.50 |
| UPMC Horizon-Greenville | Greenville | $4,861.20 | $206.32 – $6,886.70 |
| UPMC Jameson | New Castle | $1,519.80 | $197.92 – $2,229.04 |
| UPMC McKeesport | Mckeesport | $3,834.60 | $213.60 – $5,432.35 |
| UPMC Carlisle | Carlisle | $1,656.00 | $228.92 – $2,346.00 |
| UPMC Bedford | Everett | $1,705.20 | $83.15 – $2,557.80 |