Macroscopic exam parasite at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$23.40
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.
?
What you pay up front if you don't use insurance.
$39.00
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.
$4.26 with UPMC Work Partners vs $630.34 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 Work Partners | Workers Comp | $4.26 | ↓ -82% |
| Focus Healthcare | Workers Compensation | $4.70 | ↓ -80% |
| United Healthcare | Commercial | $5.87 | ↓ -75% |
| UPMC Health Plan | CHIP | $9.80 | ↓ -58% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $10.36 | ↓ -56% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $10.36 | ↓ -56% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $10.36 | ↓ -56% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $10.36 | ↓ -56% |
| UPMC Health Plan | Managed Medicare | $10.36 | ↓ -56% |
| Aetna of PA | Medicare | $10.77 | ↓ -54% |
| United Healthcare | Unison Advantage Non Special Needs | $10.88 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $11.19 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $11.19 | ↓ -52% |
| United Healthcare | Unison Advantage Special Needs | $11.40 | ↓ -51% |
| UPMC Health Plan | Partners/Select | $12.22 | ↓ -48% |
| Geisinger | Medicaid/CHIP | $15.40 | ↓ -34% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $15.40 | ↓ -34% |
| Highmark BCBS of PA | Managed Care - Social Mission | $18.60 | ↓ -21% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $18.60 | ↓ -21% |
| Cigna | Commercial | $19.60 | ↓ -16% |
| Horizon Health Plan | Commercial | $19.60 | ↓ -16% |
| Multiplan | Auto/PPO/Worker's Compensation | $21.00 | ↓ -10% |
| Health Coalition Partners | PPO | $22.40 | ↓ -4% |
| InterGroup | Commercial | $22.40 | ↓ -4% |
| Highmark BCBS of PA | Managed Care | $22.79 | ↓ -3% |
| Highmark BCBS of PA | Commercial - Indemnity | $22.79 | ↓ -3% |
| UPMC Health Plan | Commercial | $23.42 | ↑ +0% |
| Focus Healthcare | Disability/PPO/Auto | $26.60 | ↑ +14% |
| Cigna | Medicare | $630.34 | ↑ +2594% |
Visitor-reported prices
Comments
Macroscopic exam parasite at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $51.00 | $4.26 – $68.00 |
| UPMC Bedford | Everett | $36.00 | $1.56 – $54.00 |
| UPMC Carlisle | Carlisle | $24.00 | $2.37 – $34.00 |
| UPMC Cole | Coudersport | $24.00 | $2.80 – $32.00 |
| UPMC Community Osteopathic | Harrisburg | $24.00 | $3.45 – $34.00 |
| UPMC East | Monroeville | $88.20 | $4.26 – $117.60 |
| UPMC Hamot | Erie | $64.80 | $4.26 – $11.34 |
| UPMC Northwest | Seneca | $53.40 | $3.91 – $4.65 |