Lower Back (Lumbar Spine) X-ray (with bending views) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$330.00
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.
$550.00
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.
$38.50 with Aetna vs $4,119.70 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $38.50 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $38.50 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison Kids | $40.25 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $48.65 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $51.91 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $54.64 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $59.65 | ↓ -82% |
| UPMC Health Plan | CHIP | $64.05 | ↓ -81% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $67.71 | ↓ -79% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $67.71 | ↓ -79% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $67.71 | ↓ -79% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $67.71 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $67.71 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $69.63 | ↓ -79% |
| Aetna of PA | Medicare | $70.42 | ↓ -79% |
| United Healthcare | Unison Advantage Non Special Needs | $71.10 | ↓ -78% |
| AmeriHealth Caritas | Medicare | $73.13 | ↓ -78% |
| United Healthcare | Unison Advantage Special Needs | $74.48 | ↓ -77% |
| UPMC Health Plan | Partners/Select | $79.90 | ↓ -76% |
| Cigna | Commercial | $128.10 | ↓ -61% |
| Horizon Health Plan | Commercial | $128.10 | ↓ -61% |
| Multiplan | Auto/PPO/Worker's Compensation | $137.25 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $144.66 | ↓ -56% |
| Health Coalition Partners | PPO | $146.40 | ↓ -56% |
| InterGroup | Commercial | $146.40 | ↓ -56% |
| Focus Healthcare | Workers Compensation | $159.80 | ↓ -52% |
| Focus Healthcare | Disability/PPO/Auto | $173.85 | ↓ -47% |
| UPMC Health Plan | Commercial | $175.88 | ↓ -47% |
| Highmark BCBS of PA | Managed Care - Social Mission | $193.75 | ↓ -41% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $193.75 | ↓ -41% |
| Highmark BCBS of PA | Managed Care | $237.32 | ↓ -28% |
| Highmark BCBS of PA | Commercial - Indemnity | $237.32 | ↓ -28% |
| United Healthcare | Commercial | $269.44 | ↓ -18% |
| Cigna | Medicare | $4,119.70 | ↑ +1148% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) X-ray (with bending views) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $202.80 | $21.00 – $270.40 |
| UPMC Bedford | Everett | $210.00 | $36.58 – $315.00 |
| UPMC Carlisle | Carlisle | $262.80 | $27.51 – $372.30 |
| UPMC Cole | Coudersport | $180.60 | $36.75 – $240.80 |
| UPMC Community Osteopathic | Harrisburg | $262.80 | $27.51 – $372.30 |
| UPMC East | Monroeville | $732.60 | $38.50 – $976.80 |
| UPMC Hamot | Erie | $852.00 | $38.00 – $166.40 |
| UPMC Northwest | Seneca | $366.60 | $38.50 – $149.15 |